{"reporting_entity_name": "GIIC_TPA","reporting_entity_type": "GIIC_Geisinger Indemnity Insurance Company","last_updated_on": "2026-10-07","version": "2.0","provider_references": [
{"provider_group_id":922939189,"network_name":[],"provider_groups":[{"npi":[1669530069],"tin":{"type":"ein","value":"231352204","business_name":"Reading Hospital"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA31","description":"HIPPS-AAA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA44","description":"HIPPS-RUA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB146","description":"HIPPS-CB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6445","description":"Conform band s w <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4649","description":"Surgical supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray kidneys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75833","description":"Vein x-ray kidneys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp suction oral interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7047","description":"Resp suction oral interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Superimposed prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5954","description":"Superimposed prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB146","description":"HIPPS-LB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme cell activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82657","description":"Enzyme cell activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74480","description":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKW","description":"HIPPS-4AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11450","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fuse uppr arm basilic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36819","description":"Av fuse uppr arm basilic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemtuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9203","description":"Injection_ gemtuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371T","description":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cutting ramus open w/graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7943","description":"Cutting ramus open w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TERT (telomerase reverse transcriptase) (eg_ thyroid carcinoma_ glioblastoma multiforme) gene analysis_ targeted sequence analysis (eg_ promoter region)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81345","description":"TERT (telomerase reverse transcriptase) (eg_ thyroid carcinoma_ glioblastoma multiforme) gene analysis_ targeted sequence analysis (eg_ promoter region)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK4","description":"HIPPS-2AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna direct probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87149","description":"Dna/rna direct probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caspofungin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0637","description":"Caspofungin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate clinical met","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9133","description":"Onc dx prostate clinical met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2208","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87485","description":"Chylmd pneum dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation embryo(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89258","description":"Cryopreservation embryo(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2B","description":"HIPPS-AAA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 51 GENE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217U","description":"NEURO INH ATAXIA DNA 51 GENE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10D","description":"HIPPS-PD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral grav diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9341","description":"Hit enteral grav diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB22","description":"HIPPS-RVB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc lymphatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38589","description":"Laparoscope proc lymphatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535F","description":"Dyspnea mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neostim tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4265","description":"Neostim tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLU","description":"HIPPS-2CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7504","description":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sagit rigid panel prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0635","description":"Lso sagit rigid panel prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versitiā¢ Comprehensive Platelet Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274U","description":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versitiā¢ Comprehensive Platelet Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0025","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208T","description":"Audiometry air only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMX","description":"HIPPS-3CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK5","description":"HIPPS-3BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNT","description":"HIPPS-3CFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93283","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69950","description":"Incise inner ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray special views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71035","description":"Chest x-ray special views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24A","description":"HIPPS-HD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics eposteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6040","description":"Odontics eposteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dementia mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8761","description":"Dementia mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opioids & opiate analogs 3/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80363","description":"Opioids & opiate analogs 3/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ high noble me","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2720","description":"Crown resin w/ high noble me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelogphy 2/> spine regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72270","description":"Myelogphy 2/> spine regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB11","description":"HIPPS-RMB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0949T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0949T","description":"CPT-0949T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5D","description":"HIPPS-RLB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0187","description":"Tamoxifen 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sealant_ pulmonary_ liquid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2615","description":"Sealant_ pulmonary_ liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dicyclomine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0500","description":"Dicyclomine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tirofiban hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3246","description":"Tirofiban hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx transantral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21385","description":"Opn tx orbit fx transantral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacologic mgmt w/psytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90863","description":"Pharmacologic mgmt w/psytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43620","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antistreptolysin o titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86060","description":"Antistreptolysin o titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep a/hep b vacc adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90636","description":"Hep a/hep b vacc adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ polyvalent_ for children under 5 years_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90669","description":"Pneumococcal conjugate vaccine_ polyvalent_ for children under 5 years_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood pku","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84030","description":"Assay of blood pku","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spkt/v less than 1. 2 (single-pool clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8717","description":"Spkt/v less than 1. 2 (single-pool clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex custom fab thoraci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0452","description":"Tlso flex custom fab thoraci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ removable bilateral_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1527","description":"Space maintainer_ removable bilateral_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 4-7 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22810","description":"Ant fusion 4-7 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0624T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus augmentation vertical","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7952","description":"Sinus augmentation vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54300","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294U","description":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1323","description":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; subsequent vein(s) treated in a si","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36474","description":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; subsequent vein(s) treated in a si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); multiple analytes_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82492","description":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); multiple analytes_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMS","description":"HIPPS-3CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21499","description":"Head surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29365","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microsurgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69990","description":"Microsurgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home care supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99340","description":"Domicil/r-home care supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA225","description":"HIPPS-BA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardioversion electric int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92961","description":"Cardioversion electric int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of ankle and/or ft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29540","description":"Strapping of ankle and/or ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Airways surgical procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31899","description":"Airways surgical procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug Screen_ Other Than Chromatographic; Any Number Of Drug Classes_ By Clia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0434","description":"Drug Screen_ Other Than Chromatographic; Any Number Of Drug Classes_ By Clia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 45 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90836","description":"Psytx pt&/fam w/e&m 45 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB44","description":"HIPPS-RUB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amiodarone hydrochloride (nexterone)_ 30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0283","description":"Injection_ amiodarone hydrochloride (nexterone)_ 30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom sleep apnea appliance fabrication and placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9947","description":"Custom sleep apnea appliance fabrication and placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML22","description":"HIPPS-RML22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/o barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5072","description":"Urinary pouch w/o barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8B","description":"HIPPS-RMB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66840","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2151","description":"Patients With Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38226","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38226","description":"CPT-38226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin extended release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9016","description":"Injection_ triptorelin extended release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu imm no admin doc rea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8483","description":"Flu imm no admin doc rea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen not intraop image","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8873","description":"Specimen not intraop image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0506","description":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX25","description":"HIPPS-RHX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt or manip for maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8990","description":"Pt or manip for maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11A","description":"HIPPS-HD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma(s) or colorectal cancer not detected during screening colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9935","description":"Adenoma(s) or colorectal cancer not detected during screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB146","description":"HIPPS-BB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX24","description":"HIPPS-RHX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB212","description":"HIPPS-LB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMU","description":"HIPPS-1AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43300","description":"Repair of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin infiltration of lesion","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2990","description":"Resin infiltration of lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped complete soy based","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4159","description":"Ef ped complete soy based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thoracolmb 2/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72080","description":"X-ray exam thoracolmb 2/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9849","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8A","description":"HIPPS-RVA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer care checklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583F","description":"Transfer care checklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nondisposable nebulizer set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7005","description":"Nondisposable nebulizer set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Main/clean max prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5993","description":"Main/clean max prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0559T","description":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef special metabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4157","description":"Ef special metabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8A","description":"HIPPS-RMX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Refused To Participate At Admission And/Or Discharge; Patient Unable To Complete The Neck Fs Prom At Admission Or Discharge Due To Cognitive Deficit_ Visual Deficit_ M","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2166","description":"Patient Refused To Participate At Admission And/Or Discharge; Patient Unable To Complete The Neck Fs Prom At Admission Or Discharge Due To Cognitive Deficit_ Visual Deficit_ M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb not rxd; doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8474","description":"Ace/arb not rxd; doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng periton dialysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4055F","description":"Pt rcvng periton dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA34","description":"HIPPS-RVA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dm meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8494","description":"Dm meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE113","description":"HIPPS-CE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA14","description":"HIPPS-RUA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55605","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD220","description":"HIPPS-LD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whchr litwt det arm leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1240","description":"Whchr litwt det arm leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1783","description":"vaccine administration-human papillomavirus - Dose 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89257","description":"Sperm identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No f/u eval q3mo opiod tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9563","description":"No f/u eval q3mo opiod tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9577","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4027","description":"Plastic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8D","description":"HIPPS-RMA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple family group psytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90849","description":"Multiple family group psytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenting class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9444","description":"Parenting class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2610","description":"Powered w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL01","description":"HIPPS-RHL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17273","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20D","description":"HIPPS-LE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulp cap direct","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3110","description":"Pulp cap direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB40","description":"HIPPS-RLB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; qualitative_ multiallergen screen (eg_ disk_ sponge_ card)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86005","description":"Allergen specific IgE; qualitative_ multiallergen screen (eg_ disk_ sponge_ card)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50684","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9010","description":"Mccd_ risk adj_ level 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406U","description":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft ipsilat carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35501","description":"Art byp grft ipsilat carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Con tissue w dble ped graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4276","description":"Con tissue w dble ped graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50955","description":"Ureter endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1082T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1082T","description":"CPT-1082T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0497U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0497U","description":"CPT-0497U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of corneal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65450","description":"Treatment of corneal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv saliv glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64611","description":"Chemodenerv saliv glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46604","description":"Anoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glucagon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82943","description":"Assay of glucagon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63280","description":"Bx/exc idrl spine lesn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1002","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1002","description":"CDT-D1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r ant/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0637","description":"Lso sc r ant/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0578U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0578U","description":"CPT-0578U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18E","description":"HIPPS-LC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy finger joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26110","description":"Biopsy finger joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2782","description":"Crown 3/4 cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory traction device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0830","description":"Ambulatory traction device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40700","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD224","description":"HIPPS-PD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen one/mult class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80304","description":"Drug screen one/mult class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med no rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9211","description":"No hepc rna after med no rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelv band/spread bar thigh c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1640","description":"Pelv band/spread bar thigh c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic graft facial bones","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7995","description":"Synthetic graft facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11A","description":"HIPPS-HC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt hx act drain prev 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8560","description":"Pt hx act drain prev 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302T","description":"Icar ischm mntrng sys compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74000","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8809","description":"Rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c manual swingaway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1028","description":"W/c manual swingaway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafix plus_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4304","description":"Grafix plus_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87475","description":"Lyme dis dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA54","description":"HIPPS-RMA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19357","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rubeola ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87283","description":"Rubeola ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0603","description":"HCPCS-A0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pyruvate kinase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84220","description":"Assay of pyruvate kinase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not initial eval for cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1501F","description":"Not initial eval for cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forensic autopsy (necropsy)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88040","description":"Forensic autopsy (necropsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hip arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27130","description":"Total hip arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estradiol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82670","description":"Assay of estradiol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72147","description":"MRI chest spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o 3+ post-opnausea&vom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4557F","description":"Pt w/o 3+ post-opnausea&vom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot press off load supp dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9283","description":"Foot press off load supp dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abut support retainer titani","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6194","description":"Abut support retainer titani","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac output measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93561","description":"Cardiac output measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No tdap or td or 1tet/dipth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9417","description":"No tdap or td or 1tet/dipth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21B","description":"HIPPS-CB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path consult intraop addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88332","description":"Path consult intraop addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable insert each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6691","description":"Removable insert each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin depres scrn no f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8511","description":"Clin depres scrn no f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPX","description":"HIPPS-1AHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Medicalis_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1003","description":"Clinical Decision Support Mechanism Medicalis_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialyzer_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4690","description":"Dialyzer_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phosphorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84100","description":"Assay of phosphorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treponema pallidum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86780","description":"Treponema pallidum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit periton dialysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9339","description":"Hit periton dialysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open red simpl mandible fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7630","description":"Open red simpl mandible fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair removal by electrolysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17380","description":"Hair removal by electrolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21B","description":"HIPPS-BB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_yttrium-90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2616","description":"Brachytx_ non-str_yttrium-90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androstenedione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82157","description":"Assay of androstenedione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3D","description":"HIPPS-RMA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28X","description":"HIPPS-PD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 or no ct sinus w/in 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9354","description":"1 or no ct sinus w/in 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKW","description":"HIPPS-3BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pap oral interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7044","description":"Pap oral interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67145","description":"Treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl met band kafo-afo calf/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4090","description":"Repl met band kafo-afo calf/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply hand/wrist cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29085","description":"Apply hand/wrist cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18A","description":"HIPPS-LB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154U","description":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rigid ped wc adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1235","description":"Rigid ped wc adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98980","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infliximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1745","description":"Infliximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pasrr level i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2010","description":"Pasrr level i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier_ wipe or swab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5120","description":"Skin barrier_ wipe or swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total electr w/ mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0265","description":"Hosp bed total electr w/ mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX45","description":"HIPPS-RVX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion ther other than che","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0081","description":"Infusion ther other than che","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj olanzapine 2.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0166","description":"Inj olanzapine 2.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43121","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1801","description":"HCPCS-A1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP10","description":"HIPPS-ATP10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1313","description":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0609U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0609U","description":"CPT-0609U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu vlv-pmp 1st insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0596T","description":"Temp fml iu vlv-pmp 1st insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of a new patient with dementia_ moderate to high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0523","description":"Management of a new patient with dementia_ moderate to high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28G","description":"HIPPS-CA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab_ 10 mg and hyaluronidase-oysk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9356","description":"Injection_ trastuzumab_ 10 mg and hyaluronidase-oysk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport case worker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0160","description":"Noner transport case worker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance waiting 1/2 hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0420","description":"Ambulance waiting 1/2 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical revision intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44680","description":"Surgical revision intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN2","description":"HIPPS-3AHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87913","description":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74160","description":"Ct abdomen w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3B","description":"HIPPS-RUX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv adduct vocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2341","description":"Chemodenerv adduct vocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68328","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0650U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0650U","description":"CPT-0650U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13A","description":"HIPPS-HE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enzyme replace diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9357","description":"Hit enzyme replace diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21A","description":"HIPPS-LE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01202","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01202","description":"CPT-01202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcitonin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82308","description":"Assay of calcitonin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronidase recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3473","description":"Hyaluronidase recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96171","description":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24C","description":"HIPPS-CD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mans shoe oxford brace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3225","description":"Mans shoe oxford brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 3/> segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35683","description":"Composite byp grft 3/> segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anorectal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45108","description":"Removal of anorectal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPT","description":"HIPPS-3AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tear gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68550","description":"Remove tear gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKW","description":"HIPPS-1CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLW","description":"HIPPS-3BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt biliary drainage cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47534","description":"Plmt biliary drainage cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus ab igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86788","description":"West nile virus ab igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML10","description":"HIPPS-RML10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35647","description":"Art byp aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp screen mammogram add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77052","description":"Comp screen mammogram add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1064T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1064T","description":"CPT-1064T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK1","description":"HIPPS-5BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA221","description":"HIPPS-CA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients receiving rrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1199","description":"Patients receiving rrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0027U","description":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap revise/remv eltrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43648","description":"Lap revise/remv eltrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB05","description":"HIPPS-RLB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM3","description":"HIPPS-1AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [HA]_ procollagen III amino terminal peptide [PIIINP]_ tissue inhibitor of metalloproteinase 1 [TIMP-1])_ using immuno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81517","description":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [HA]_ procollagen III amino terminal peptide [PIIINP]_ tissue inhibitor of metalloproteinase 1 [TIMP-1])_ using immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24C","description":"HIPPS-PD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ maintenance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9005","description":"Mccd_ risk adj_ maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0080","description":"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK3","description":"HIPPS-3AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cms medical evidence form 2728 for dialysis patients: initial form completed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1265","description":"Cms medical evidence form 2728 for dialysis patients: initial form completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99174","description":"Ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66988","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93591","description":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472T","description":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid hcl for topical administration_ 10% gel_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7345","description":"Aminolevulinic acid hcl for topical administration_ 10% gel_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (hikma) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0137","description":"Injection_ acetaminophen (hikma) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33300","description":"Repair of heart wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA230","description":"HIPPS-PA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"22nf sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2361","description":"22nf sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient And/Or Care Partner Decline Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0041","description":"Patient And/Or Care Partner Decline Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5916","description":"Ocular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair resin partial denture base_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5612","description":"repair resin partial denture base_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decalcify tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88311","description":"Decalcify tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urgent Care Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4036","description":"Urgent Care Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare fecal microbiota","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44705","description":"Prepare fecal microbiota","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each junior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3211","description":"Surgical boot each junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35646","description":"Art byp aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0503","description":"HCPCS-B0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open Implantation Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64582","description":"Open Implantation Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal cord puncture prenatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59012","description":"Fetal cord puncture prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humate-p_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7187","description":"Humate-p_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3204","description":"Hightop w/ supp/pronator inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Documented That Patient Was Not An Eligible Candidate For Autogenous AV Fistula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8531","description":"Clinician Documented That Patient Was Not An Eligible Candidate For Autogenous AV Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic retention","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8680","description":"Orthodontic retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13132","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 visit p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90962","description":"Esrd serv 1 visit p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6614","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6614","description":"HCPCS-A6614","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA204","description":"HIPPS-PA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9455","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No bone scn b/4 txmnt/aftrdx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3270F","description":"No bone scn b/4 txmnt/aftrdx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4357","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4357","description":"HCPCS-Q4357","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1329","description":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1A","description":"HIPPS-RUX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open aortoiliac prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34831","description":"Open aortoiliac prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0671","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0671","description":"HCPCS-G0671","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18H","description":"HIPPS-LC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC226","description":"HIPPS-PC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharg sys intern","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8689","description":"External recharg sys intern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40527","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perphenazine 4mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0175","description":"Perphenazine 4mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Galectin-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82777","description":"Galectin-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28B","description":"HIPPS-CC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered pres-redu air mattrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0277","description":"Powered pres-redu air mattrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetoscop laser ther ttts","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2411","description":"Fetoscop laser ther ttts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29705","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1463","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1463","description":"HCPCS-M1463","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLS","description":"HIPPS-1AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ elastic long stretch_ linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6597","description":"Gradient compression bandage roll_ elastic long stretch_ linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Singl visn sphere 7.12-20.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2102","description":"Singl visn sphere 7.12-20.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive med svc 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2010","description":"Comprehensive med svc 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2390","description":"Offset knee joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a certified peer sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0140","description":"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a certified peer sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m sestamibi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9500","description":"Tc99m sestamibi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj manipulation under anest","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7830","description":"Tmj manipulation under anest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad sleeve heavy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8423","description":"Custom grad sleeve heavy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19271","description":"Revision of chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Covers for upright each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1120","description":"Covers for upright each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33780","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy remov fb/fibrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32653","description":"Thoracoscopy remov fb/fibrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD231","description":"HIPPS-HD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ prothrombin complex concentrate (human)_ balfaxar_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9159","description":"Injection_ prothrombin complex concentrate (human)_ balfaxar_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01852","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01852","description":"CPT-01852","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ esophageal sphincter augmentation procedure_ placement of sphincter augmentation device (ie_ magnetic band)_ including cruroplasty when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43284","description":"Laparoscopy_ surgical_ esophageal sphincter augmentation procedure_ placement of sphincter augmentation device (ie_ magnetic band)_ including cruroplasty when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE131","description":"HIPPS-PE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL4","description":"HIPPS-1AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So hard plas stabili pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3678","description":"So hard plas stabili pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dark adaptation eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92284","description":"Dark adaptation eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove transplanted kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50370","description":"Remove transplanted kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/videorecord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95951","description":"Eeg monitoring/videorecord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0010","description":"Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens extended wear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2513","description":"Contact lens extended wear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4418","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4418","description":"HCPCS-Q4418","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93585","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco-use counsel>10min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0437","description":"Tobacco-use counsel>10min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise oral mucosa for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40818","description":"Excise oral mucosa for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salicylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6038","description":"Salicylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45379","description":"Colonoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjst forearm pro/sup device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1802","description":"Adjst forearm pro/sup device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7638","description":"Dexamethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography head w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70545","description":"Mr angiography head w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_ automated sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0147","description":"Scr c/v cyto_ automated sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE241","description":"HIPPS-CE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat penis lesion graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54112","description":"Treat penis lesion graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc protoporphyrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84202","description":"Assay rbc protoporphyrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC205","description":"HIPPS-HC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12D","description":"HIPPS-HB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of metatarsals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28322","description":"Repair of metatarsals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA12","description":"HIPPS-RUA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy into cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96450","description":"Chemotherapy into cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15D","description":"HIPPS-PE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD210","description":"HIPPS-HD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80376","description":"Drug/substance nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of imipramine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6036","description":"Assay of imipramine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2046","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2046","description":"HCPCS-A2046","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL1","description":"HIPPS-1BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8H","description":"HIPPS-RUX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLW","description":"HIPPS-2BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cat scan follow-up study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76380","description":"Cat scan follow-up study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual wc hand rim w project","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0967","description":"Manual wc hand rim w project","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0816T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch supp premold metat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3050","description":"Foot arch supp premold metat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ 1000 units (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0886","description":"Injection_ epoetin alfa_ 1000 units (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57020","description":"Drainage of pelvic fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES244","description":"HIPPS-ES244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18B","description":"HIPPS-BB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery cables","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4612","description":"Battery cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35612","description":"Art byp subclav-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42962","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet imaging initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0252","description":"Pet imaging initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disar prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6550","description":"Shldr disar prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1804","description":"HCPCS-E1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14B","description":"HIPPS-PB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary_s home that has been made provider","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0248","description":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary_s home that has been made provider","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX30","description":"HIPPS-RVX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32960","description":"Therapeutic pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13D","description":"HIPPS-LC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methacholine chloride_ neb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7674","description":"Methacholine chloride_ neb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ right ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33275","description":"Transcatheter removal of permanent leadless pacemaker_ right ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove digit nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64776","description":"Remove digit nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein l3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82107","description":"Alpha-fetoprotein l3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93621","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK5","description":"HIPPS-5CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27080","description":"Removal of tail bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0701","description":"HCPCS-C0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2002","description":"Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metalic 1 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2510","description":"Dental inlay metalic 1 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infect control supplies nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8301","description":"Infect control supplies nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tigecycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3243","description":"Tigecycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical app of fluoride","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1208","description":"Topical app of fluoride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE126","description":"HIPPS-LE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azithromycin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0456","description":"Azithromycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3D","description":"HIPPS-RHB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1609","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1609","description":"HCPCS-C1609","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC44","description":"HIPPS-RUC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55720","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray female genital tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74740","description":"X-ray female genital tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5A","description":"HIPPS-RLX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0686T","description":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain external ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69000","description":"Drain external ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0506U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0506U","description":"CPT-0506U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18I","description":"HIPPS-LE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct entire forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21180","description":"Reconstruct entire forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sealant repair per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1353","description":"Sealant repair per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng epo thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4090F","description":"Pt rcvng epo thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6087","description":"Implant Supported Crown - Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0873T","description":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31292","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of calf tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27687","description":"Revision of calf tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1085","description":"Hemi-wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spectinomycn di-hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3320","description":"Spectinomycn di-hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adapter_ single-use (i.e._ disposable)_ for attaching ultrasound system to upper gastrointestinal endoscope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1606","description":"Adapter_ single-use (i.e._ disposable)_ for attaching ultrasound system to upper gastrointestinal endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High dose rate_electronic bracytherapy_ per fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182T","description":"High dose rate_electronic bracytherapy_ per fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM4","description":"HIPPS-4BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tissue expander","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11970","description":"Replace tissue expander","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27828","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK4","description":"HIPPS-1CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle/heel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28100","description":"Removal of ankle/heel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKU","description":"HIPPS-3CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lateral thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1210","description":"Lateral thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9117","description":"Onc dx ovarian unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1130","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12011","description":"Rpr f/e/e/n/l/m 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21490","description":"Repair dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fosaprepitant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1453","description":"Fosaprepitant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX42","description":"HIPPS-RMX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fluocinolone acetonide_ intravitreal implant (Yutiq)_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7314","description":"Injection_ fluocinolone acetonide_ intravitreal implant (Yutiq)_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31050","description":"Exploration sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA55","description":"HIPPS-RUA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0555","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0555","description":"HCPCS-G0555","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB144","description":"HIPPS-CB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKT","description":"HIPPS-2AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4D","description":"HIPPS-RVC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26645","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis_ male_ including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52284","description":"Cystourethroscopy_ with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis_ male_ including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3465","description":"Shoe heel thomas with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43410","description":"Repair esophagus wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin in sodium (Baxter)_ not therapeutically equivalent to J2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2246","description":"Injection_ micafungin in sodium (Baxter)_ not therapeutically equivalent to J2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95722","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMU","description":"HIPPS-4BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess vol mgmt not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8958","description":"Assess vol mgmt not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB231","description":"HIPPS-LB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ atezolizumab_ 10 mg (Tecentriq)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9483","description":"Injection_ atezolizumab_ 10 mg (Tecentriq)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4209","description":"Surgraft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB43","description":"HIPPS-RMB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instll rx agnt into rnal tub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50391","description":"Instll rx agnt into rnal tub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids quan 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82139","description":"Amino acids quan 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99 tilmanocept diag 0.5mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9520","description":"Tc99 tilmanocept diag 0.5mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN5","description":"HIPPS-3AFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of apolipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82172","description":"Assay of apolipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26590","description":"Repair finger deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace inhibitor or arb therapy not prescribed during the measurement period_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1203","description":"Ace inhibitor or arb therapy not prescribed during the measurement period_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0911","description":"Instillation_ taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5878","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5878","description":"CDT-D5878","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC210","description":"HIPPS-HC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee total contact","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5637","description":"Below knee total contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54230","description":"Prepare penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"V-band gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43842","description":"V-band gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18G","description":"HIPPS-LB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52260","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE105","description":"HIPPS-CE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL5","description":"HIPPS-3BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc mechanical fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85547","description":"Rbc mechanical fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00940","description":"CPT-00940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81289","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK5","description":"HIPPS-4BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented and no reason is given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1314","description":"Bmi not documented and no reason is given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nabilone oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8650","description":"Nabilone oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68810","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero w/up stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52345","description":"Cysto/uretero w/up stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc new diag 1st/addl mdd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3093F","description":"Doc new diag 1st/addl mdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10B","description":"HIPPS-PC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidural lysis mult sessions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62263","description":"Epidural lysis mult sessions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15940","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69725","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acellular derm matrix implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15777","description":"Acellular derm matrix implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin_ extended-release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3316","description":"Injection_ triptorelin_ extended-release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00924","description":"CPT-00924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0B","description":"HIPPS-RHX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr ampu fxd arm leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1170","description":"Whlchr ampu fxd arm leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70473","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70473","description":"CPT-70473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severity angina by actvty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1010F","description":"Severity angina by actvty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57530","description":"Removal of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Teriparatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3110","description":"Teriparatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup body cast plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4001","description":"Cast sup body cast plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1049","description":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00864","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00864","description":"CPT-00864","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity class severe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1493F","description":"Dem severity class severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image spect mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78452","description":"Ht muscle image spect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1412","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1412","description":"HCPCS-M1412","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct ulna/radioulnar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25337","description":"Reconstruct ulna/radioulnar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE144","description":"HIPPS-HE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Full mouth debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4355","description":"Full mouth debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additional switch_ ext power","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6611","description":"Additional switch_ ext power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical procedures that included the use of silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9756","description":"Surgical procedures that included the use of silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67930","description":"Repair eyelid wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ltwt portbl power whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0012","description":"Ltwt portbl power whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN2","description":"HIPPS-1AHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dias bp > or = 90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8755","description":"Dias bp > or = 90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0701","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0701","description":"CDT-D0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0767T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release encircling material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67115","description":"Release encircling material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 4 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3390F","description":"Ajcc cln cncr stage 4 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB50","description":"HIPPS-RHB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKX","description":"HIPPS-2AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472U","description":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert subq exten to ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49435","description":"Insert subq exten to ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 7-8 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98928","description":"Osteopath manj 7-8 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21260","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28406","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Health Safety)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7336","description":"Community Transition Svcs (Health Safety)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLS","description":"HIPPS-3CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52648","description":"Laser surgery of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ conforming gauze_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6596","description":"Gradient compression bandaging supply_ conforming gauze_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test speech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92577","description":"Stenger test speech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urgent care center global","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9083","description":"Urgent care center global","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1B","description":"HIPPS-RHA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-131 iodide cap_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9528","description":"Iodine i-131 iodide cap_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T-cell depletion of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38210","description":"T-cell depletion of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1002","description":"Custom item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang express goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9163","description":"Lang express goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9698","description":"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK6","description":"HIPPS-5CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81185","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion reset pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96371","description":"Sc ther infusion reset pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sincalide (maia) not therapeutically equivalent to j2805_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2806","description":"Injection_ sincalide (maia) not therapeutically equivalent to j2805_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lacosamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80235","description":"Lacosamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD210","description":"HIPPS-LD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP6","description":"HIPPS-3CGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNW","description":"HIPPS-1CFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoloplasty w/extract 1-3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7311","description":"Alveoloplasty w/extract 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38300","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346T","description":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit aphakia spectcl monofocl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92352","description":"Fit aphakia spectcl monofocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23184","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi abv up param f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8417","description":"Calc bmi abv up param f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Slp stdy unatnd w/anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95801","description":"Slp stdy unatnd w/anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99424","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee heavy dut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1195","description":"Wheelchair amputee heavy dut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA101","description":"HIPPS-PA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elctrd transvenously","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33244","description":"Remove elctrd transvenously","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL2","description":"HIPPS-4BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam abdominl aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75625","description":"Contrast exam abdominl aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28630","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKS","description":"HIPPS-5AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD204","description":"HIPPS-CD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20703","description":"Removal Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_hdr ir-192","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1717","description":"Brachytx_ non-str_hdr ir-192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidurography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72275","description":"Epidurography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD236","description":"HIPPS-CD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misoprostol_ oral_ 200 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0191","description":"Misoprostol_ oral_ 200 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0505","description":"HCPCS-C0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC105","description":"HIPPS-CC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clofarabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9027","description":"Clofarabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24D","description":"HIPPS-HC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Node neg inv brst cncr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8879","description":"Node neg inv brst cncr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD154","description":"HIPPS-CD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9882","description":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No dxa no med hx no rv sx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9472","description":"No dxa no med hx no rv sx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium noncomp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7631","description":"Cromolyn sodium noncomp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33675","description":"Close mult vsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87484","description":"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01991","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01991","description":"CPT-01991","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL05","description":"HIPPS-RVL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE120","description":"HIPPS-HE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosis Of Seizure Disorders_ Rapid Eye Movement Sleep Behavior Disorder_ Benzodiazepine Withdrawal_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0033","description":"Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosis Of Seizure Disorders_ Rapid Eye Movement Sleep Behavior Disorder_ Benzodiazepine Withdrawal_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33534","description":"Cabg arterial two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1227","description":"Wheelchair spec sz spec ht a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tisagenlecleucel_ up to 250 million CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2040","description":"Tisagenlecleucel_ up to 250 million CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93784","description":"Ambulatory bp monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0603U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0603U","description":"CPT-0603U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cushioned headrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0955","description":"Cushioned headrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES215","description":"HIPPS-ES215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0081","description":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove prostate regrowth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52630","description":"Remove prostate regrowth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0105","description":"HCPCS-C0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ othr than cool-tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1733","description":"Cath_ ep_ othr than cool-tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azacitidine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9025","description":"Azacitidine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29846","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46610","description":"Anoscopy remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture lymphocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88230","description":"Tissue culture lymphocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1552","description":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7650","description":"Isoetharine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroestradiol f18_ diagnostic_ 1 mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9060","description":"Fluoroestradiol f18_ diagnostic_ 1 mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing solid stirrup calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1980","description":"Afo sing solid stirrup calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9958","description":"Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKU","description":"HIPPS-3BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx iliac spine uni/bil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0412","description":"Open tx iliac spine uni/bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypertonic saline sol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7131","description":"Hypertonic saline sol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cancer treatment plan change","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0354","description":"Cancer treatment plan change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55810","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31755","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp w/fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46258","description":"Remove in/ex hem grp w/fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-rays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76102","description":"Complex body section x-rays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levoleucovorin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0641","description":"Levoleucovorin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54060","description":"Excision of penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00950","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00950","description":"CPT-00950","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh uterus over 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58572","description":"Tlh uterus over 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLU","description":"HIPPS-2CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respirator motion mgmt simul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77293","description":"Respirator motion mgmt simul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26450","description":"Incision of palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLT","description":"HIPPS-4CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ nerve(s) and accompanying structures throughout their entire anatomic course in one extremity_ comprehensive_ including real-time cine imaging with image documenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76883","description":"Ultrasound_ nerve(s) and accompanying structures throughout their entire anatomic course in one extremity_ comprehensive_ including real-time cine imaging with image documenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81596","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC104","description":"HIPPS-LC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35271","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic hemiarch graft including isolation and control of the arch vessels_ beveled open distal aortic anastomosis extending under one or more of the arch vessels_ and total ci","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33866","description":"Aortic hemiarch graft including isolation and control of the arch vessels_ beveled open distal aortic anastomosis extending under one or more of the arch vessels_ and total ci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB236","description":"HIPPS-BB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78481","description":"Heart first pass single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7528","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB116","description":"HIPPS-LB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN3","description":"HIPPS-1CGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35560","description":"Art byp grft aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87109","description":"Mycoplasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt/vest elec/combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0499","description":"Belt/vest elec/combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28666","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0782T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31511","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28531","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67108","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13B","description":"HIPPS-LD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9048","description":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27592","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic Neoplasia (Genome-Wide) Microarray Analysis_ Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants For Chromosomal Abnormalities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81277","description":"Cytogenomic Neoplasia (Genome-Wide) Microarray Analysis_ Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants For Chromosomal Abnormalities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic pancreatoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43273","description":"Endoscopic pancreatoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx transition","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8070","description":"Compre dental tx transition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test sock elbw disart/above","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6682","description":"Test sock elbw disart/above","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36902","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML07","description":"HIPPS-RML07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of inner eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66770","description":"Removal of inner eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP6","description":"HIPPS-3AGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53420","description":"Reconstruct urethra stage 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2638","description":"Brachytx_ stranded_ i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL6","description":"HIPPS-2CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin fluid swg/sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5828","description":"Endo knee-shin fluid swg/sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12B","description":"HIPPS-HB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31512","description":"Removal of larynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low frequency non-thermal us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97610","description":"Low frequency non-thermal us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Service Coordination**","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1011","description":"Service Coordination**","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image std nomenclature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9318","description":"Image std nomenclature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9902","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21348","description":"Opn tx nasomax fx w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac event recorder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0616","description":"Cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental connector bar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6920","description":"Dental connector bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent hemoglobin a1c level > 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1211","description":"Most recent hemoglobin a1c level > 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK4","description":"HIPPS-3AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37215","description":"Transcath stent cca w/eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24C","description":"HIPPS-LB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5926","description":"Replacement nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC260","description":"HIPPS-HC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37180","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD113","description":"HIPPS-PD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0482T","description":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting body mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7945","description":"Bone cutting body mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99251","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabazitaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9043","description":"Cabazitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed bilat space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1515","description":"Fixed bilat space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish inner ear window","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69820","description":"Establish inner ear window","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hf measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8548","description":"Hf measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP03","description":"HIPPS-ATP03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX01","description":"HIPPS-RHX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51880","description":"Repair of bladder opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54200","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42970","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC12","description":"HIPPS-RUC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26121","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add full sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3540","description":"Ortho shoe add full sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4005","description":"Family Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB156","description":"HIPPS-HB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18X","description":"HIPPS-CA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14C","description":"HIPPS-CE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0791T","description":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKS","description":"HIPPS-5CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN4","description":"HIPPS-1AFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc sinus ct 28d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9349","description":"Doc sinus ct 28d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0281","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0281","description":"HCPCS-J0281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA234","description":"HIPPS-PA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1/hiv-2 1 result antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86703","description":"Hiv-1/hiv-2 1 result antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest wall repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47251","description":"Anesth chest wall repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nondisposable pump canister","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7001","description":"Nondisposable pump canister","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22819","description":"Kyphectomy 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224U","description":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Filtered nebulizer admin set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7006","description":"Filtered nebulizer admin set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMW","description":"HIPPS-2AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20525","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0607U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0607U","description":"CPT-0607U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with reactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1232","description":"Patient receives hcv antibody test with reactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revita_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4180","description":"Revita_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33265","description":"Ablate atria lmtd endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test incubate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86921","description":"Compatibility test incubate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMW","description":"HIPPS-3AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD236","description":"HIPPS-PD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71270","description":"Ct thorax w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL15","description":"HIPPS-RUL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25B","description":"HIPPS-PB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36570","description":"Insert picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA135","description":"HIPPS-BA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egfr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81235","description":"Egfr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unplnd ret to surg w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9308","description":"Unplnd ret to surg w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy synovectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7875","description":"Tmj arthroscopy synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of bradykinin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82286","description":"Assay of bradykinin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK4","description":"HIPPS-3AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0505","description":"HCPCS-A0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27498","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA205","description":"HIPPS-PA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC116","description":"HIPPS-PC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22D","description":"HIPPS-PA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88164","description":"Cytopath tbs c/v manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 auto wbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9570","description":"Indium in-111 auto wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM3","description":"HIPPS-3CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rocking bed w/ or w/o side r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0462","description":"Rocking bed w/ or w/o side r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SLCO1B1 (solute carrier organic anion transporter family_ member 1B1) (eg_ adverse drug reaction)_ gene analysis_ common variant(s) (eg_ *5)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81328","description":"SLCO1B1 (solute carrier organic anion transporter family_ member 1B1) (eg_ adverse drug reaction)_ gene analysis_ common variant(s) (eg_ *5)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified biologics","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3590","description":"Unclassified biologics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No knee joint with artic ali","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5220","description":"No knee joint with artic ali","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7521","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7521","description":"HCPCS-J7521","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK4","description":"HIPPS-1BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trg gene rearrangement anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81342","description":"Trg gene rearrangement anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift hydraulic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0630","description":"Patient lift hydraulic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porfimer sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9600","description":"Porfimer sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01430","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01430","description":"CPT-01430","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine specimen collect mult","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9615","description":"Urine specimen collect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A Model Participant (Ambulance Supplier/Provider)_ The Beneficiary Refuses Services Covered Under The Model (Transport To An Alternate Destination/Treatment In Place)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2022","description":"A Model Participant (Ambulance Supplier/Provider)_ The Beneficiary Refuses Services Covered Under The Model (Transport To An Alternate Destination/Treatment In Place)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam performed_ including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degenerat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9974","description":"Dilated macular exam performed_ including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degenerat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-hospital on call service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99026","description":"In-hospital on call service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Becaplermin gel 1%_ 0.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0157","description":"Becaplermin gel 1%_ 0.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLU","description":"HIPPS-4CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of thigh muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27430","description":"Revision of thigh muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL12","description":"HIPPS-RHL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81297","description":"Msh2 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67318","description":"Revise eye muscle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9761","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA105","description":"HIPPS-CA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74430","description":"Contrast x-ray bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuragen nerve guide_ per cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9352","description":"Neuragen nerve guide_ per cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB31","description":"HIPPS-RUB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59612","description":"Vbac delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27052","description":"Biopsy of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82607","description":"Vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10009","description":"Fine needle aspiration biopsy_ including CT guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aneurysm sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61613","description":"Remove aneurysm sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33864","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9340","description":"Hit enteral per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"E-Graft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4318","description":"E-Graft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0679T","description":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26850","description":"Fusion of knuckle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder & vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57289","description":"Repair bladder & vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01714","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01714","description":"CPT-01714","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked upr&lwr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95939","description":"C motor evoked upr&lwr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB15","description":"HIPPS-RMB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23C","description":"HIPPS-HC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ewho w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3764","description":"Ewho w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of toes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28280","description":"Fusion of toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37232","description":"Tib/per revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC244","description":"HIPPS-CC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0660T","description":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal shoe space maintainer - fixed - unilateral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1575","description":"Distal shoe space maintainer - fixed - unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast thermoplas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2126","description":"Kafo fem fx cast thermoplas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54316","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL2","description":"HIPPS-4AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heart pm ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33207","description":"Insert heart pm ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC144","description":"HIPPS-CC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m succimer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9551","description":"Tc99m succimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye mvmt alys w/o calbrj i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0615T","description":"Eye mvmt alys w/o calbrj i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant mid ear hearing pros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5095","description":"Implant mid ear hearing pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE224","description":"HIPPS-HE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22846","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"One way chest drain valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7040","description":"One way chest drain valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0C","description":"HIPPS-RVA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27236","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc funct no deficiencies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8542","description":"Doc funct no deficiencies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cerclage suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59871","description":"Remove cerclage suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - second dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1714","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - second dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography with right heart catheterization with endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7521","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography with right heart catheterization with endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7648","description":"Isoetharine non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph endoscopy dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43226","description":"Esoph endoscopy dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for percutaneous transhepatic cholangiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47500","description":"Injection procedure for percutaneous transhepatic cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222T","description":"Plmt post facet implt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78258","description":"Esophageal motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39000","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1374","description":"HCPCS-M1374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD155","description":"HIPPS-LD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91313","description":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA44","description":"HIPPS-RHA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB06","description":"HIPPS-RMB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23D","description":"HIPPS-LC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4B","description":"HIPPS-RHL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colchicine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0760","description":"Colchicine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped caloric dense>/=0.7kc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4160","description":"Ef ped caloric dense>/=0.7kc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No xray/ct/ et al ordd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3320F","description":"No xray/ct/ et al ordd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36590","description":"Removal tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8705","description":"Topotecan oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0514","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9996","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9996","description":"HCPCS-Q9996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00730","description":"CPT-00730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB134","description":"HIPPS-BB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74290","description":"Contrast x-ray gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18I","description":"HIPPS-LD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27654","description":"Repair of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2/neu positive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9830","description":"HER2/neu positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12D","description":"HIPPS-ES12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095U","description":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt max lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5750","description":"Denture reln cmplt max lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX12","description":"HIPPS-RVX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25100","description":"Biopsy of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21086","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0618U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0618U","description":"CPT-0618U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0704","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0704","description":"CDT-D0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33735","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81414","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8931","description":"Mra_ w/dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8988","description":"Self care goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Weight record","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2001F","description":"Weight record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mattress foam rubber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0272","description":"Mattress foam rubber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0820T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8D","description":"HIPPS-RMB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6450","description":"Lt compres band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test_ hormone level;","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3650","description":"Saliva test_ hormone level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33504","description":"Coronary artery graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval on foot documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8410","description":"Eval on foot documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0541","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0541","description":"HCPCS-G0541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25C","description":"HIPPS-LB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elotuzumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9176","description":"Injection_ elotuzumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha 1 proteinase inhibitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0256","description":"Alpha 1 proteinase inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01486","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01486","description":"CPT-01486","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test alpha-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3845","description":"Gene test alpha-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Expandable controller_ initl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2377","description":"Expandable controller_ initl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-66683","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66683","description":"CPT-66683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB60","description":"HIPPS-RLB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24C","description":"HIPPS-BA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml remission","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9126","description":"Onc dx cml remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLW","description":"HIPPS-1CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31086","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61514","description":"Removal of brain abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2031","description":"Hair analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programmable infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0783","description":"Programmable infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cultr oocyte/embryo <4 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89251","description":"Cultr oocyte/embryo <4 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release finger contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26525","description":"Release finger contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revsc opn/prq tib/pero stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37234","description":"Revsc opn/prq tib/pero stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB145","description":"HIPPS-LB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen mammo doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3014F","description":"Screen mammo doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caries preventive medicament application - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1355","description":"Caries preventive medicament application - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0046","description":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release knuckle contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26520","description":"Release knuckle contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex remove fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43215","description":"Esophagoscopy flex remove fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD144","description":"HIPPS-CD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA24","description":"HIPPS-RMA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11C","description":"HIPPS-LC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10004","description":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24D","description":"HIPPS-PA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol > 100gm prote","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4199","description":"Parenteral sol > 100gm prote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image 4+ views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78605","description":"Brain image 4+ views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16071","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16071","description":"CPT-16071","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0723T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0901","description":"HCPCS-A0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44151","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin respon genetic test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9143","description":"Warfarin respon genetic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24400","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97158","description":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2128","description":"Kafo fem fx cast molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinnervate larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31590","description":"Reinnervate larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11A","description":"HIPPS-CA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9813","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9813","description":"HCPCS-C9813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr adpt pneum vad_ rep veh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0504","description":"Pwr adpt pneum vad_ rep veh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infratemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61590","description":"Infratemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io anal gast n-stim subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95981","description":"Io anal gast n-stim subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18E","description":"HIPPS-ES18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal ak ultra-light m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5790","description":"Exoskeletal ak ultra-light m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20C","description":"HIPPS-PD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag and followup no rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9550","description":"Abd imag and followup no rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc lis nurse train ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0164","description":"Hhc lis nurse train ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outer ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69399","description":"Outer ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML45","description":"HIPPS-RML45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo bx proven malig docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3350F","description":"Mammo bx proven malig docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"100 insulin syringes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8490","description":"100 insulin syringes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27822","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44186","description":"Lap jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL2","description":"HIPPS-2CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9092","description":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res W/Chf Billd Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9680","description":"Onsite Ac C Tx Nsg Fac Res W/Chf Billd Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54435","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92986","description":"Revision of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0505","description":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8664","description":"Fun stat score shdl < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean rem part denture max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9934","description":"Clean rem part denture max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v interpret","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88141","description":"Cytopath c/v interpret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225U","description":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00214","description":"CPT-00214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy orchiopexy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54692","description":"Laparoscopy orchiopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1092T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1092T","description":"CPT-1092T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2101","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus ipv sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90713","description":"Poliovirus ipv sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0115U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no sleep apnea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8840","description":"Doc reas no sleep apnea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surg on vag/urethral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94251","description":"Anesth surg on vag/urethral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45398","description":"Colonoscopy w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9880","description":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze>16<=48 sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6217","description":"Non-sterile gauze>16<=48 sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng glucoco thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4192F","description":"Pt not rcvng glucoco thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who are not ambulatory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1068","description":"Adults who are not ambulatory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLV","description":"HIPPS-2CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61151","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234U","description":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete aa_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4303","description":"Complete aa_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cxr doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3006F","description":"Cxr doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59614","description":"Vbac care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transthor cath for stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33621","description":"Transthor cath for stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures complete maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5110","description":"Dentures complete maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Garamycin gentamicin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1580","description":"Garamycin gentamicin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine transthor w/vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62651","description":"Anes spine transthor w/vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMX","description":"HIPPS-4BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-75577","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75577","description":"CPT-75577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drsg <=16 sq in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6209","description":"Foam drsg <=16 sq in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73660","description":"X-ray exam of toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL5","description":"HIPPS-2CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99391","description":"Per pm reeval est pat infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamines 5 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80326","description":"Amphetamines 5 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52330","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd w/transmural drain cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43240","description":"Egd w/transmural drain cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47360","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electromagnetic therapy onc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0295","description":"Electromagnetic therapy onc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets Pathogen Reduced Ea Unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9988","description":"Platelets Pathogen Reduced Ea Unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradj d-dimer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85380","description":"Fibrin degradj d-dimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69620","description":"Repair of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2202","description":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74742","description":"X-ray fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scleral lens liquid bandage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0515","description":"Scleral lens liquid bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percut ablate liver rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47382","description":"Percut ablate liver rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiograph pelv w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72191","description":"Ct angiograph pelv w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniply_ for topical use only_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4249","description":"Amniply_ for topical use only_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66852","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast adjuvant chemotherapy administered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9829","description":"Breast adjuvant chemotherapy administered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1502","description":"HCPCS-C1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28090","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB10","description":"HIPPS-RHB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46257","description":"Remove in/ex hem grp & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93312","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl/idrl lsn any lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63290","description":"Bx/exc xdrl/idrl lsn any lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long chain fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82726","description":"Long chain fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace cvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36580","description":"Replace cvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for hip x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27095","description":"Injection for hip x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43831","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melanomaajcc stage 0 or ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3322F","description":"Melanomaajcc stage 0 or ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP3","description":"HIPPS-3AHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE245","description":"HIPPS-LE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10B","description":"HIPPS-HD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visualization adjunct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9968","description":"Visualization adjunct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB35","description":"HIPPS-RVB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8C","description":"HIPPS-RHA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mw therapy for breast tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301T","description":"Mw therapy for breast tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neonate crit care initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99468","description":"Neonate crit care initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh w/t/o 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58571","description":"Tlh w/t/o 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP5","description":"HIPPS-1AFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17108","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPS","description":"HIPPS-3CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ nonlyophilized_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9318","description":"Injection_ romidepsin_ nonlyophilized_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/maint cont hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4890","description":"Repair/maint cont hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod solid food suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9434","description":"Mod solid food suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14001","description":"Tis trnfr trunk 10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avelumab_ 10mg (bavencio)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9491","description":"Injection_ avelumab_ 10mg (bavencio)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8I","description":"HIPPS-RML8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN2","description":"HIPPS-3CGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-cor_ tem w/o del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2617","description":"Stent_ non-cor_ tem w/o del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2321","description":"Lenticular lens_ trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0084","description":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1183","description":"Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parasymp&symp hrt rate test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95943","description":"Parasymp&symp hrt rate test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air injection into abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49400","description":"Air injection into abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tendon to pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27098","description":"Transfer tendon to pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroejaculation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55870","description":"Electroejaculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove penis & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54135","description":"Remove penis & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mon cable elec/pneum vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0486","description":"Mon cable elec/pneum vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0085","description":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for porphobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84106","description":"Test for porphobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17283","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7509","description":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0608U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0608U","description":"CPT-0608U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20D","description":"HIPPS-BA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0683","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0683","description":"HCPCS-G0683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain canal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61050","description":"Remove brain canal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng provided symp mngmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4350F","description":"Cnslng provided symp mngmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM1","description":"HIPPS-4BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13B","description":"HIPPS-HD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNS","description":"HIPPS-3AGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKX","description":"HIPPS-4CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol; Free_ Direct Measurement (Eg_ Equilibrium Dialysis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82681","description":"Estradiol; Free_ Direct Measurement (Eg_ Equilibrium Dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx l/r atrial fib addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93657","description":"Tx l/r atrial fib addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fo pip dip no jt spr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3927","description":"Fo pip dip no jt spr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection jaw joint x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21116","description":"Injection jaw joint x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14C","description":"HIPPS-LD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28I","description":"HIPPS-ES28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95977","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0624U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0624U","description":"CPT-0624U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3B","description":"HIPPS-RMX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB251","description":"HIPPS-BB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2620","description":"Pmkr_ single_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrig drug delivery device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96523","description":"Irrig drug delivery device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1886","description":"Catheter_ ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46607","description":"Diagnostic anoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4C","description":"HIPPS-RHL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14D","description":"HIPPS-CE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9878","description":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18H","description":"HIPPS-PA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit alpha-1-proteinas diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9346","description":"Hit alpha-1-proteinas diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC235","description":"HIPPS-LC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9025","description":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB230","description":"HIPPS-PB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan caremng angnl symptdocd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557F","description":"Plan caremng angnl symptdocd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNS","description":"HIPPS-1AFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neostim dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4267","description":"Neostim dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7522","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chap services at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9473","description":"Chap services at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361U","description":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography thoracic spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72255","description":"Myelography thoracic spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24B","description":"HIPPS-CA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA07","description":"HIPPS-RHA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5160","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5160","description":"HCPCS-Q5160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SUPRATHEL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2012","description":"SUPRATHEL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90876","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0853T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc t-pa admin considered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4077F","description":"Doc t-pa admin considered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC46","description":"HIPPS-RHC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q6h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9503","description":"Hit antibiotic q6h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25240","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sternum separation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21750","description":"Repair of sternum separation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PreTRMĀ®_ Sera Prognostics_ Sera Prognostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0247U","description":"PreTRMĀ®_ Sera Prognostics_ Sera Prognostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine & cord cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63194","description":"Incise spine & cord cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2601","description":"HCPCS-J2601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26489","description":"Transplant/graft palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC113","description":"HIPPS-LC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95724","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10C","description":"HIPPS-CD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23105","description":"Remove shoulder joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Octagam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1568","description":"Octagam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126U","description":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84425","description":"Assay of vitamin b-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast diep or siea flap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2068","description":"Breast diep or siea flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of neck vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22110","description":"Remove part of neck vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK4","description":"HIPPS-3BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8H","description":"HIPPS-RMB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rgd ped wc adjstabl w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1237","description":"Rgd ped wc adjstabl w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNV","description":"HIPPS-1CFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12C","description":"HIPPS-BA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla x-match noncytotoxc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86826","description":"Hla x-match noncytotoxc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC144","description":"HIPPS-PC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plnning pt spec fenest graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34839","description":"Plnning pt spec fenest graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPS","description":"HIPPS-3CFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82044","description":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Htlv-i antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86687","description":"Htlv-i antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86658","description":"Enterovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast gap flap reconst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2066","description":"Breast gap flap reconst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr34 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2359","description":"Gr34 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 xhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0855","description":"Pwc gp 3 xhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2124","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; duplication/deletion variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81269","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; duplication/deletion variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip/thigh fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27025","description":"Incision of hip/thigh fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1065","description":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement interface spsd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1821","description":"Replacement interface spsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit lowrisk surg pts preop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8961","description":"Csit lowrisk surg pts preop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC22","description":"HIPPS-RMC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8H","description":"HIPPS-RVC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76377","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust cmplt mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5411","description":"Dentures adjust cmplt mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34471","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63706","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ dual_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2619","description":"Pmkr_ dual_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefotetan disodiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0074","description":"Injection_ cefotetan disodiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53865","description":"CPT-53865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093U","description":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4530","description":"Ped size brief/diaper lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine & skull spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22590","description":"Spine & skull spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92314","description":"Prescription of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide cap_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9517","description":"I131 iodide cap_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test indirect qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86885","description":"Coombs test indirect qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendance at delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99464","description":"Attendance at delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52051","description":"Anesth chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474U","description":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6794","description":"Crown titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKT","description":"HIPPS-2BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65150","description":"Revise ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88162","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Morphine sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2270","description":"Morphine sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1116","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim gcsf biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5101","description":"Inj filgrastim gcsf biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Chlamydia trachomatis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87810","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Chlamydia trachomatis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25695","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl exchange/transfuse nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36450","description":"Bl exchange/transfuse nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84439","description":"Assay of free thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01962","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01962","description":"CPT-01962","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28A","description":"HIPPS-PA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLX","description":"HIPPS-2BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33288","description":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK3","description":"HIPPS-2CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/repl vagus n eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64569","description":"Revise/repl vagus n eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); modulating antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86043","description":"Acetylcholine receptor (AChR); modulating antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9752","description":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral first film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0250","description":"Extraoral first film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine sc or im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90581","description":"Anthrax vaccine sc or im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm each no wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0116","description":"Crutch underarm each no wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tonsils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42826","description":"Removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/computer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95953","description":"Eeg monitoring/computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10B","description":"HIPPS-CE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15012","description":"CPT-15012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1303","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq tx malar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21355","description":"Perq tx malar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ socket bel elbow/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6687","description":"Frame typ socket bel elbow/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85441","description":"Heinz bodies direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB25","description":"HIPPS-RUB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long tongue stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2265","description":"Long tongue stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKU","description":"HIPPS-5CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35121","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33949","description":"Ecmo/ecls daily mgmt artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1A","description":"HIPPS-RLB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tint_ any color/solid/grad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2745","description":"Tint_ any color/solid/grad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA46","description":"HIPPS-RMA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-osseointegrated snd proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8692","description":"Non-osseointegrated snd proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3-d radiotherapy plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77295","description":"3-d radiotherapy plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB40","description":"HIPPS-RHB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metal frame recipro hip & ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2628","description":"Metal frame recipro hip & ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community/work reintegration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97537","description":"Community/work reintegration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2298","description":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA07","description":"HIPPS-AAA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent tobacco status is not tobacco free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9792","description":"Most recent tobacco status is not tobacco free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide cathet fluid drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10030","description":"Guide cathet fluid drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle/rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21705","description":"Revision of neck muscle/rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70460","description":"Ct head/brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA12","description":"HIPPS-RLA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Particle agglut antbdy scrn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86403","description":"Particle agglut antbdy scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posaconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80187","description":"Posaconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspiration orbital contents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67415","description":"Aspiration orbital contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27513","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9807","description":"HCPCS-C9807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99156","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11005","description":"Debride abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL2","description":"HIPPS-2CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebound matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4296","description":"Rebound matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76979","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth w/o gen/neurax anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4560F","description":"Anesth w/o gen/neurax anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB114","description":"HIPPS-BB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0640T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92230","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn scope pt >85y","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9660","description":"Doc med rsn scope pt >85y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker leg extenders set of4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0158","description":"Walker leg extenders set of4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15C","description":"HIPPS-LB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additional spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22585","description":"Additional spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLS","description":"HIPPS-3AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE211","description":"HIPPS-PE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18B","description":"HIPPS-LC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-visit patient screening","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9912","description":"Pre-visit patient screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20100","description":"Explore wound neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo state","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9151","description":"Mapcp demo state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE134","description":"HIPPS-HE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment gastric band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2083","description":"Adjustment gastric band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13A","description":"HIPPS-HB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14C","description":"HIPPS-BA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2396","description":"Caster fork","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib not presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9440","description":"P2y inhib not presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90381","description":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6100","description":"Removal of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knees","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73565","description":"X-ray exam of knees","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKV","description":"HIPPS-4BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove&replace pm gen singl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33227","description":"Remove&replace pm gen singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKT","description":"HIPPS-3CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androsterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82160","description":"Assay of androsterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heyman uteri capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58346","description":"Insert heyman uteri capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onco (ovar) five proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81503","description":"Onco (ovar) five proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0830T","description":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8B","description":"HIPPS-RVB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL4","description":"HIPPS-3AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61156","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove epididymis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54830","description":"Remove epididymis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP2","description":"HIPPS-1CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv hanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0105","description":"Iv hanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53200","description":"Biopsy of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24A","description":"HIPPS-PC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37290","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37290","description":"CPT-37290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical prep rx aoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4130F","description":"Topical prep rx aoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post chmbr intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2632","description":"Post chmbr intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90712","description":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear quad-lat brim c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2520","description":"Th/wght bear quad-lat brim c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84075","description":"Assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontoplasty 1-2 teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9971","description":"Odontoplasty 1-2 teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-82234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82234","description":"CPT-82234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20910","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB225","description":"HIPPS-LB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore orbit/remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61333","description":"Explore orbit/remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11311","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Range of motion measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95852","description":"Range of motion measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3930","description":"Hfo nontorsion jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC SLD TUM ALYS BRCA1 BRCA2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172U","description":"ONC SLD TUM ALYS BRCA1 BRCA2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC117","description":"HIPPS-HC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26460","description":"Incise hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398U","description":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2A","description":"HIPPS-RVA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay serum cholinesterase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82480","description":"Assay serum cholinesterase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24320","description":"Repair of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice routine home care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2042","description":"Hospice routine home care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay prostate phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84066","description":"Assay prostate phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97162","description":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy & polypectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45333","description":"Sigmoidoscopy & polypectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lungcx bx rpt docs class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9418","description":"Lungcx bx rpt docs class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9937","description":"Diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1487","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1487","description":"HCPCS-M1487","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68325","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7571","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7571","description":"HCPCS-C7571","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology colon mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81525","description":"Oncology colon mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psa/t/glsc docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3268F","description":"Psa/t/glsc docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61020","description":"Remove brain cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Oncology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4031","description":"Radiation Oncology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18F","description":"HIPPS-LC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMU","description":"HIPPS-1CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Direct immunofluorescence","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0482","description":"Direct immunofluorescence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0845T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9615","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"HCPCS-A9615","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deli/install chrg hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1600","description":"Deli/install chrg hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0884","description":"Pwc gp4 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication & fitting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2628","description":"Fabrication & fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma discharge plan presnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5250F","description":"Asthma discharge plan presnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Staph a dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87640","description":"Staph a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system >=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4305","description":"Drug delivery system >=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone oral 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0109","description":"Methadone oral 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0765T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics transosteal implnt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6050","description":"Odontics transosteal implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sedation (non-iv)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9248","description":"Sedation (non-iv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4011","description":"Internal Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory test limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92587","description":"Evoked auditory test limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle-level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9014","description":"Esrd demo bundle-level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for heart biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76932","description":"Echo guide for heart biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58700","description":"Removal of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ipilimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9228","description":"Ipilimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9975","description":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0536T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21155","description":"Lefort iii w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC20","description":"HIPPS-RVC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC112","description":"HIPPS-CC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of hip joint/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27036","description":"Excision of hip joint/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vte prophylaxis rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4069F","description":"Vte prophylaxis rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0658T","description":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for transfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76941","description":"Echo guide for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0201","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0201","description":"CDT-D0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nitroblue tetrazolium dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86384","description":"Nitroblue tetrazolium dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX20","description":"HIPPS-RLX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28B","description":"HIPPS-PE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML03","description":"HIPPS-RML03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36010","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27893","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit midline cath insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5521","description":"Hit midline cath insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6590","description":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mertiatide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9562","description":"Tc99m mertiatide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc no reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8698","description":"Antithromb no presc no reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95715","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"HCPCS-J9232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo rig ant tib prefab tcf/=","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1932","description":"Afo rig ant tib prefab tcf/=","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis delta agent antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86692","description":"Hepatitis delta agent antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL07","description":"HIPPS-RUL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle w/suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67334","description":"Revise eye muscle w/suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miniature knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5826","description":"Miniature knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX12","description":"HIPPS-RUX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Streptomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3000","description":"Streptomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2091","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocate pocket for defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33223","description":"Relocate pocket for defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qty act diab retin mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9672","description":"Qty act diab retin mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2001","description":"HCPCS-B2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0570T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64835","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cilastatin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0743","description":"Cilastatin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0537T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath occlusion non-cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61626","description":"Transcath occlusion non-cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buccal/labial frenectomy (frenulectomy)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7961","description":"Buccal/labial frenectomy (frenulectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC251","description":"HIPPS-PC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2115","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2033","description":"HCPCS-A2033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27345","description":"Removal of knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0805","description":"HCPCS-C0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78191","description":"Platelet survival","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35515","description":"Art byp grft subclav-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0027","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdomen vessel surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88051","description":"Anesth abdomen vessel surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54865","description":"Explore epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1174","description":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5A","description":"HIPPS-RLB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28B","description":"HIPPS-LE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprt fees/laryngeal test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92617","description":"Interprt fees/laryngeal test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test myo musclr dyst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3853","description":"Gene test myo musclr dyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81109","description":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25335","description":"Realignment of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bls-emergency","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0429","description":"Bls-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37140","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta-blocker therapy rxd/tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4008F","description":"Beta-blocker therapy rxd/tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv artific diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22856","description":"Cerv artific diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL3","description":"HIPPS-1AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biphos thxpy vein ord/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4100F","description":"Biphos thxpy vein ord/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLT","description":"HIPPS-3AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7657","description":"Isoproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5C","description":"HIPPS-RMB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9972","description":"Epoetin beta_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2C","description":"HIPPS-RLB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam two surfaces permane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2150","description":"Amalgam two surfaces permane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69554","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine 2vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72070","description":"X-ray exam thorac spine 2vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculate eggs/animal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87250","description":"Virus inoculate eggs/animal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ankle joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27626","description":"Remove ankle joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biovance 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4154","description":"Biovance 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237U","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3mod sacro-scap pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0462","description":"Tlso 3mod sacro-scap pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC34","description":"HIPPS-RMC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM1","description":"HIPPS-3CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11626","description":"Exc s/n/h/f/g mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61684","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho lift taper to metatarsal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3300","description":"Sho lift taper to metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0105U","description":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom fabricate w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2609","description":"Custom fabricate w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28150","description":"Removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infus pump portab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9004","description":"Parenteral infus pump portab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0447","description":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 12 COM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216U","description":"NEURO INH ATAXIA DNA 12 COM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr CT/MRI imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055T","description":"Bone srgry cmptr CT/MRI imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditor evoke potent compre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92585","description":"Auditor evoke potent compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26542","description":"Repair hand joint with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74450","description":"X-ray urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest auto stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38206","description":"Harvest auto stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18G","description":"HIPPS-LC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohols biomarkers 1or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80321","description":"Alcohols biomarkers 1or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9186","description":"Motor speech goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA21","description":"HIPPS-RMA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76529","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in for con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6696","description":"Cus elbo skt in for con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no dchg home postop day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9602","description":"Pt no dchg home postop day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4362","description":"Solid skin barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1088T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1088T","description":"CPT-1088T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPV","description":"HIPPS-1AGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Improve visual funct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0913","description":"Improve visual funct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: Multimodal Pain Management Was Used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2148","description":"Performance Met: Multimodal Pain Management Was Used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76882","description":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9800","description":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0675U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0675U","description":"CPT-0675U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo plastic molded w/ankle j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1970","description":"Afo plastic molded w/ankle j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63001","description":"Remove spine lamina 1/2 crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Str markers specimen anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81265","description":"Str markers specimen anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0D","description":"HIPPS-RMX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Snrpn/ube3a gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81331","description":"Snrpn/ube3a gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB07","description":"HIPPS-RLB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control unit bowel system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0350","description":"Control unit bowel system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLV","description":"HIPPS-2CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9990","description":"Services provided as part of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0B","description":"HIPPS-RMC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPT","description":"HIPPS-1AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL2","description":"HIPPS-4CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria toxoid_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90719","description":"Diphtheria toxoid_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tub rail attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation and curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58120","description":"Dilation and curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal/urinary muscle study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51784","description":"Anal/urinary muscle study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43180","description":"Esophagoscopy rigid trnso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 3 MCG TRS-SUCR","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91308","description":"SARSCOV2 VAC 3 MCG TRS-SUCR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj prohance multipack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9576","description":"Inj prohance multipack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0656T","description":"Vertebral body tethering_ anterior; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1027","description":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC141","description":"HIPPS-CC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35633","description":"Art byp ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath mtral vlve repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345T","description":"Transcath mtral vlve repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surg penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54057","description":"Laser surg penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath concentrate tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88108","description":"Cytopath concentrate tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE254","description":"HIPPS-HE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss add to std pad scrotal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8330","description":"Truss add to std pad scrotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28190","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep addl 100 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15003","description":"Wound prep addl 100 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote retinal imaging mgmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92228","description":"Remote retinal imaging mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80406","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM2","description":"HIPPS-2AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37299","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37299","description":"CPT-37299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77290","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0572T","description":"Insertion Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12042","description":"Intmd rpr n-hf/genit2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0641T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0102","description":"HCPCS-B0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB201","description":"HIPPS-LB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP ABO 7 EXONS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180U","description":"ABO GNOTYP ABO 7 EXONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas extend to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3470","description":"Shoe heel thomas extend to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoplasty w/ extraction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7310","description":"Alveoplasty w/ extraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23A","description":"HIPPS-PC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gerd symps assessed 12 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1118F","description":"Gerd symps assessed 12 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6074","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA22","description":"HIPPS-RHA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPT","description":"HIPPS-1CFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28485","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stomach surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43999","description":"Stomach surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0243","description":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0303","description":"HCPCS-C0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82679","description":"Assay of estrone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38700","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev precision pinch dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6810","description":"Term dev precision pinch dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4341","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4341","description":"HCPCS-Q4341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22A","description":"HIPPS-CB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain outer ear canal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69020","description":"Drain outer ear canal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8720","description":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0655","description":"Pneumatic appliance half arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9494","description":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0682","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0682","description":"HCPCS-G0682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ corticotropin (ANI)_ up to 40 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0802","description":"Injection_ corticotropin (ANI)_ up to 40 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMW","description":"HIPPS-1CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioText_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4245","description":"AmnioText_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML14","description":"HIPPS-RML14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23525","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15738","description":"Muscle-skin graft leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement bridge","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6930","description":"Dental recement bridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin + supply_ tositumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3001","description":"Admin + supply_ tositumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1137F","description":"Epsd bk pain for >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4402","description":"HCPCS-Q4402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28496","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90382","description":"CPT-90382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb <10g/dl_ med rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8975","description":"Hgb <10g/dl_ med rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1C","description":"HIPPS-RHX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 8-14 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0481","description":"Drug test def 8-14 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0493","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0238","description":"HCPCS-M0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE246","description":"HIPPS-HE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy fundoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43280","description":"Laparoscopy fundoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv >30 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0397","description":"Alcohol/subs interv >30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB42","description":"HIPPS-RVB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00326","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00326","description":"CPT-00326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef incomplete/modular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4155","description":"Ef incomplete/modular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier solid 4x4 equiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4372","description":"Skin barrier solid 4x4 equiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67975","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26483","description":"Transplant/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0175","description":"HCPCS-J0175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61692","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma-toric/prism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2501","description":"Cntct lens pmma-toric/prism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6563","description":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hbot_ full body chamber_ 30m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0277","description":"Hbot_ full body chamber_ 30m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23921","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1478","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1478","description":"HCPCS-M1478","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX17","description":"HIPPS-RMX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL4","description":"HIPPS-3BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2B","description":"HIPPS-RLB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1304","description":"HCPCS-A1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rna tstng hep c docd done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3218F","description":"Rna tstng hep c docd done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK6","description":"HIPPS-5BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC117","description":"HIPPS-CC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pure tone hearing test air","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92551","description":"Pure tone hearing test air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transab esoph hiat hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43333","description":"Transab esoph hiat hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7060","description":"5% dextrose/water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL5","description":"HIPPS-4AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1245","description":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88356","description":"Analysis nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olipudase alfa-rpcp_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0218","description":"Injection_ olipudase alfa-rpcp_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00190","description":"CPT-00190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of finger splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29130","description":"Application of finger splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos microalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3060F","description":"Pos microalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0B","description":"HIPPS-RVL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc of neg or man pos tb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9360","description":"No doc of neg or man pos tb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1301","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1301","description":"CDT-D1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant maintenance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6080","description":"Implant maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prost cncr rsk not lw/md/hgh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3274F","description":"Prost cncr rsk not lw/md/hgh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB07","description":"HIPPS-RUB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01842","description":"CPT-01842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee acrylic socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5629","description":"Below knee acrylic socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46730","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asth controlled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9432","description":"Asth controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis treatment performed exactly three times per week for > 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8714","description":"Hemodialysis treatment performed exactly three times per week for > 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er- or pr- breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3316F","description":"Er- or pr- breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA104","description":"HIPPS-CA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No unpln rup post cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9390","description":"No unpln rup post cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12A","description":"HIPPS-HB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58321","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92518","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83655","description":"Assay of lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0573T","description":"Removal Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6069","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulm funct tst plethysmograp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94726","description":"Pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Camisole post-mast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8460","description":"Camisole post-mast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB213","description":"HIPPS-BB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8918","description":"Mra w/cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal flow sheet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501F","description":"Prenatal flow sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2050","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2050","description":"HCPCS-A2050","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19085","description":"Bx breast 1st lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail plate add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11732","description":"Remove nail plate add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE260","description":"HIPPS-HE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anesthetic agent; spinal accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64412","description":"Injection_ anesthetic agent; spinal accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1004","description":"Pwr seat recline mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38100","description":"Removal of spleen total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL30","description":"HIPPS-RHL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lube sterile packet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4332","description":"Lube sterile packet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1255","description":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stim brain add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95962","description":"Electrode stim brain add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00868","description":"CPT-00868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24073","description":"Ex arm/elbow tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3244","description":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1050","description":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg bk ea add cast ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5410","description":"Postop dsg bk ea add cast ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8F","description":"HIPPS-RHB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7556","description":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81280","description":"Long qt synd gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnicore pro_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4298","description":"Amnicore pro_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20B","description":"HIPPS-CB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interfyl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4171","description":"Interfyl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxytetracycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2460","description":"Oxytetracycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn incomp inf antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9302","description":"Norsn incomp inf antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91302","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18H","description":"HIPPS-PD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24C","description":"HIPPS-HD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11441","description":"Exc face-mm b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45307","description":"Proctosigmoidoscopy fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC30","description":"HIPPS-RHC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44378","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dent appl desensitizing med","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9910","description":"Dent appl desensitizing med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20225","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2662","description":"Dental onlay resin 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image skull-thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78812","description":"Pet image skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1476","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1476","description":"HCPCS-M1476","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single visn sphere 4.12-7.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2101","description":"Single visn sphere 4.12-7.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE250","description":"HIPPS-PE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracran angioplsty w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61635","description":"Intracran angioplsty w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52318","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis bra & form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8001","description":"Breast prosthesis bra & form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB121","description":"HIPPS-LB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX15","description":"HIPPS-RLX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1dose menig vac btwn 11 & 13","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9414","description":"1dose menig vac btwn 11 & 13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynmc tx 30 min add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96570","description":"Photodynmc tx 30 min add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0513","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gait training therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97116","description":"Gait training therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test pure tone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92565","description":"Stenger test pure tone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397U","description":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy titrate-airborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95027","description":"Icut allergy titrate-airborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL1","description":"HIPPS-2AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1175","description":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinal male jug-type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0325","description":"Urinal male jug-type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA256","description":"HIPPS-CA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight det a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1088","description":"Wheelchair lightweight det a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10B","description":"HIPPS-HC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57288","description":"Repair bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 4.00d/12-2.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2103","description":"Spherocylindr 4.00d/12-2.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9051","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor three anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81510","description":"Ftl cgen abnor three anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33362","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are receiving comfort care only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9930","description":"Patients who are receiving comfort care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8845","description":"Pos airway press prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch solid deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4395","description":"Ostomy pouch solid deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Silvr oxide batt glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4236","description":"Silvr oxide batt glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0476U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0476U","description":"CPT-0476U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intestine lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44110","description":"Excise intestine lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54700","description":"Drainage of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1736","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1736","description":"HCPCS-C1736","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for unhealthy alcohol use using a systematic screening method_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2199","description":"Patient not screened for unhealthy alcohol use using a systematic screening method_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18B","description":"HIPPS-CE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381U","description":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hg a1c level 7.0-9.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3045F","description":"Hg a1c level 7.0-9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00851","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00851","description":"CPT-00851","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit wound care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9097","description":"Home visit wound care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise thigh tendon & fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27305","description":"Incise thigh tendon & fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77770","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric pyrophosphate citrate powder_ 0.1mg of iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1444","description":"Injection_ ferric pyrophosphate citrate powder_ 0.1mg of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15B","description":"HIPPS-HB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md certification hha patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0180","description":"Md certification hha patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enter infusion pump w/o alrm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9000","description":"Enter infusion pump w/o alrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut fixed dent mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6115","description":"Implnt/abut fixed dent mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color 6.0 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11920","description":"Correct skin color 6.0 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK4","description":"HIPPS-2BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 2-8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88187","description":"Flowcytometry/read 2-8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4A","description":"HIPPS-RUL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ transpl pkg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2152","description":"Solid organ transpl pkg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elev bp plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513F","description":"Elev bp plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/t/o & vag repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58263","description":"Vag hyst w/t/o & vag repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo w/o joint multi-axis an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2038","description":"Kafo w/o joint multi-axis an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd moderate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3089F","description":"Mdd moderate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pdgfra gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81314","description":"Pdgfra gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurgery penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54056","description":"Cryosurgery penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0849","description":"Pwc gp 3 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcmnd flw-up 10 yrs docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528F","description":"Rcmnd flw-up 10 yrs docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation2hr_ nrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9582","description":"Door to punc time >2hr_ nrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"E & M Of Beneficiary_S Ac Change Cond Nsg Fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9685","description":"E & M Of Beneficiary_S Ac Change Cond Nsg Fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL2","description":"HIPPS-3AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych hlth fac svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2013","description":"Psych hlth fac svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise urethra stage 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53405","description":"Revise urethra stage 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/w resect addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32667","description":"Thoracoscopy w/w resect addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58300","description":"Insert intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8B","description":"HIPPS-RHA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5810","description":"Denture interm cmplt maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9963","description":"Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko w adj flex/ext rotat mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1846","description":"Ko w adj flex/ext rotat mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trismus appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5937","description":"Trismus appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC214","description":"HIPPS-HC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80334","description":"Antidepressants class 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aor ane 5.5-5.9 cm max diam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9598","description":"Aor ane 5.5-5.9 cm max diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic venous therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37212","description":"Thrombolytic venous therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L colectomy/coloproctostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44207","description":"L colectomy/coloproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of elbow or wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29260","description":"Strapping of elbow or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45135","description":"Excision of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as a tobacco user received tobacco cessation intervention (counseling and/or pharmacotherapy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9906","description":"Patient identified as a tobacco user received tobacco cessation intervention (counseling and/or pharmacotherapy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2003","description":"Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enamel microabrasion","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9970","description":"Enamel microabrasion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA224","description":"HIPPS-BA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Order for ceph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9197","description":"Order for ceph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240U","description":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diet counsel at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9474","description":"Diet counsel at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa ordered for osteo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8861","description":"Dxa ordered for osteo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42210","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27330","description":"Biopsy knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB251","description":"HIPPS-HB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot plate molded stirrup at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2250","description":"Foot plate molded stirrup at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0516","description":"Safety frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paclitaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9267","description":"Paclitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA42","description":"HIPPS-AAA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLU","description":"HIPPS-3BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPW","description":"HIPPS-1BFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2920","description":"Dental recement crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraabdominal pressure test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51797","description":"Intraabdominal pressure test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB16","description":"HIPPS-RVB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BioNextPATCH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4228","description":"BioNextPATCH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable pump replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0786","description":"Implantable pump replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61460","description":"Incise skull for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-electr w/o mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0261","description":"Hosp bed semi-electr w/o mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold sock suspension t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6110","description":"Elbow mold sock suspension t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61760","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A finding of an incidental pulmonary nodule","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9754","description":"A finding of an incidental pulmonary nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18C","description":"HIPPS-HC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77772","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anabolic steroid 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80328","description":"Anabolic steroid 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine HCl (Immphentiv)_ 20 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2373","description":"Injection_ phenylephrine HCl (Immphentiv)_ 20 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1324","description":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy nerve face muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64612","description":"Destroy nerve face muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald telephone amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5268","description":"Ald telephone amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen pap by tech w md supv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P3000","description":"Screen pap by tech w md supv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8A","description":"HIPPS-RVC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01730","description":"CPT-01730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23B","description":"HIPPS-PC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung perfusion imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78580","description":"Lung perfusion imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB125","description":"HIPPS-LB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61530","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder prosthesis removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23335","description":"Shoulder prosthesis removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKS","description":"HIPPS-2BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radium/radioisotope therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77799","description":"Radium/radioisotope therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50650","description":"Removal of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54430","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90399","description":"Immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE211","description":"HIPPS-LE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ non-prog_temp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2626","description":"Infusion pump_ non-prog_temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2620","description":"Wc planar back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18A","description":"HIPPS-HE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gadoxetate disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9581","description":"Gadoxetate disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag ctr rigi pos pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0643","description":"Lso sag ctr rigi pos pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0580U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0580U","description":"CPT-0580U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay porcelain/ceramic 1 su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2610","description":"Inlay porcelain/ceramic 1 su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv low-risk types","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87623","description":"Hpv low-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ceftazidime and avibactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0714","description":"Ceftazidime and avibactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24575","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95721","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9131","description":"Onc dx brst unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mouth piece","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4617","description":"Mouth piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of histamine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83088","description":"Assay of histamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1159","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90584","description":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18X","description":"HIPPS-HE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20D","description":"HIPPS-LB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD120","description":"HIPPS-PD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77761","description":"Apply intrcav radiat simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6075","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28B","description":"HIPPS-HC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6020","description":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69502","description":"Mastoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spring-ass rot wrst w/ latch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6623","description":"Spring-ass rot wrst w/ latch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Language screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5363","description":"Language screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2201","description":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Npm1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81310","description":"Npm1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ coated/cov w/del sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1874","description":"Stent_ coated/cov w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00635","description":"CPT-00635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eltrd/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33243","description":"Remove eltrd/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB156","description":"HIPPS-LB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fixd ht w/o mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0251","description":"Hosp bed fixd ht w/o mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15730","description":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hygienic item or device_ disposable or non-disposable_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9286","description":"Hygienic item or device_ disposable or non-disposable_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"User adjustable heel height","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5990","description":"User adjustable heel height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstr w/lat flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19361","description":"Breast reconstr w/lat flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21C","description":"HIPPS-CA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 pc ost pou w built-in conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5057","description":"1 pc ost pou w built-in conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig rna no antvir tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8460","description":"Pt inelig rna no antvir tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1386","description":"HCPCS-M1386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5924","description":"Cranial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bitewings - three films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0273","description":"Bitewings - three films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO general orthopedic intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibilit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9739","description":"Patient unable to complete the FOTO general orthopedic intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine disk surgery thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63078","description":"Spine disk surgery thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9839","description":"Anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ppps_ initial visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0438","description":"Ppps_ initial visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain w/ h noble m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2750","description":"Crown porcelain w/ h noble m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK3","description":"HIPPS-4BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobin quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83010","description":"Assay of haptoglobin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15774","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6554","description":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35B","description":"HIPPS-ES35B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0554T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8999","description":"Motor speech current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray frnt lat lordotc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71021","description":"Chest x-ray frnt lat lordotc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC11","description":"HIPPS-RUC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std seat elevate cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0831","description":"Pwc gp2 std seat elevate cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/bypass add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33259","description":"Ablate atria w/bypass add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription digital behavioral therapy_ FDA-cleared_ per course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9291","description":"Prescription digital behavioral therapy_ FDA-cleared_ per course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release inner ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69960","description":"Release inner ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bivalirudin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0583","description":"Bivalirudin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL42","description":"HIPPS-RUL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0631U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0631U","description":"CPT-0631U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo_ walk boot type_ cus fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4631","description":"Afo_ walk boot type_ cus fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria_ tetanus toxoids_ and acellular pertussis vaccine andhemophilus influenza b vaccine (dtap-hib)_ for intramsucular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90721","description":"Diphtheria_ tetanus toxoids_ and acellular pertussis vaccine andhemophilus influenza b vaccine (dtap-hib)_ for intramsucular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLS","description":"HIPPS-4BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2611","description":"Gen use back cush wdth <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin intermed 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5552","description":"Insulin intermed 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7554","description":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporary tear duct plug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4262","description":"Temporary tear duct plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKS","description":"HIPPS-5BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine hydrochloride nasal solution for topical administration_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9046","description":"Cocaine hydrochloride nasal solution for topical administration_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1807","description":"HCPCS-E1807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE120","description":"HIPPS-PE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9291","description":"Not nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of adrenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86651","description":"Anesth removal of adrenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc iliac repr w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34900","description":"Endovasc iliac repr w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetric panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80055","description":"Obstetric panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB12","description":"HIPPS-RLB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD234","description":"HIPPS-PD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93531","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak/hip knee extens assi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5850","description":"Endo ak/hip knee extens assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haberman feeder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8265","description":"Haberman feeder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53250","description":"Removal of urethra gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo bk ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5940","description":"Endo bk ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB124","description":"HIPPS-HB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skull base/brainstem surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61576","description":"Skull base/brainstem surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjust bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20693","description":"Adjust bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA56","description":"HIPPS-AAA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-25448","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25448","description":"CPT-25448","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventilating tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69424","description":"Remove ventilating tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay quant nos nonab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83520","description":"Immunoassay quant nos nonab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433U","description":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22222","description":"Incis w/discectomy thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Hyalgan_ Supartz or Visco-3_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7321","description":"Hyaluronan or derivative_ Hyalgan_ Supartz or Visco-3_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sach foot_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5971","description":"Sach foot_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal scope w/tumor resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50562","description":"Renal scope w/tumor resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86790","description":"Virus antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67039","description":"Laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fndngs mammo 2pt w/in 3 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5060F","description":"Fndngs mammo 2pt w/in 3 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl nstim array vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313T","description":"Laps rmvl nstim array vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27882","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12C","description":"HIPPS-BB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay 17- ketosteroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83586","description":"Assay 17- ketosteroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97813","description":"Acupunct w/stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire any size ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2219","description":"Foam caster tire any size ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj for sacroiliac jt anesth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0260","description":"Inj for sacroiliac jt anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX05","description":"HIPPS-RVX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD160","description":"HIPPS-LD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Segesterone acetate and ethinyl estradiol 0.15 mg_ 0.013 mgper 24 hours; yearly vaginal system_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7294","description":"Segesterone acetate and ethinyl estradiol 0.15 mg_ 0.013 mgper 24 hours; yearly vaginal system_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9161","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"HCPCS-J9161","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24D","description":"HIPPS-CA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50200","description":"Renal biopsy perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8919","description":"Mra w/o cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14C","description":"HIPPS-ES14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98981","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1003","description":"Pwr seat recline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5D","description":"HIPPS-RML5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice general care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2045","description":"Hospice general care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus and fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43312","description":"Repair esophagus and fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20D","description":"HIPPS-CE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0406","description":"HCPCS-A0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool Tub_ Walk-In_ Portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1003","description":"Whirlpool Tub_ Walk-In_ Portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB14","description":"HIPPS-RLB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99204","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1003","description":"HCPCS-A1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLS","description":"HIPPS-2CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11010","description":"Debride skin at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA213","description":"HIPPS-BA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC130","description":"HIPPS-HC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24800","description":"Fusion of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23D","description":"HIPPS-CC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tract frame attach headboard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0840","description":"Tract frame attach headboard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC211","description":"HIPPS-PC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99418","description":"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28430","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37288","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37288","description":"CPT-37288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation heart device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93640","description":"Evaluation heart device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure_ intestine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6021","description":"Unlisted procedure_ intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42600","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Automated Analysis And Report_ Unilateral Or Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92229","description":"Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Automated Analysis And Report_ Unilateral Or Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand tum deep 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26113","description":"Exc hand tum deep 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rv5 vacc 3 dose live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90680","description":"Rv5 vacc 3 dose live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue removal neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41145","description":"Tongue removal neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Potent antivir thxpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4276F","description":"Potent antivir thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1B","description":"HIPPS-RUC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9890","description":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC55","description":"HIPPS-RVC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation digit complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20816","description":"Replantation digit complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM1","description":"HIPPS-4CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anaphylaxis due to the vaccine on or before the date of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1311","description":"Anaphylaxis due to the vaccine on or before the date of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5647","description":"Below knee suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL6","description":"HIPPS-3CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum dep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27634","description":"Exc leg/ankle tum dep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9616","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9616","description":"HCPCS-A9616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36585","description":"Replace picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (Cuvitru)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1555","description":"Injection_ immune globulin (Cuvitru)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8X","description":"HIPPS-RVC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24420","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473T","description":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51525","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25260","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11421","description":"Exc h-f-nk-sp b9+marg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6549","description":"Resin retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA230","description":"HIPPS-BA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igk rearrangeabn clonal pop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81264","description":"Igk rearrangeabn clonal pop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1B","description":"HIPPS-RHL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81364","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu vac pandem prsrv free im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90666","description":"Flu vac pandem prsrv free im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18A","description":"HIPPS-BB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022A","description":"Imm admin by intramusc injection of (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12A","description":"HIPPS-PE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8E","description":"HIPPS-RUB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKU","description":"HIPPS-2AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p day <2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90967","description":"Esrd home pt serv p day <2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE160","description":"HIPPS-CE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech/hearing therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92508","description":"Speech/hearing therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drill skull for implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61107","description":"Drill skull for implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-auto graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4285","description":"Non-auto graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8001","description":"HCPCS-C8001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney function study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78725","description":"Kidney function study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL3","description":"HIPPS-3AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATN1 (atrophin 1) (eg_ dentatorubral-pallidoluysian atrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81177","description":"ATN1 (atrophin 1) (eg_ dentatorubral-pallidoluysian atrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9803","description":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subs episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1128F","description":"Subs episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50546","description":"Laparoscopic nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4031","description":"Cast sup lng leg ped plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73085","description":"Contrast x-ray of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27886","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko dbl upright w/air pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1847","description":"Ko dbl upright w/air pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3351","description":"Apexification/recalc initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE215","description":"HIPPS-CE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0561U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0561U","description":"CPT-0561U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8X","description":"HIPPS-RUL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop kinetic balnce sensr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396T","description":"Intraop kinetic balnce sensr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28545","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7615","description":"Levalbuterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18H","description":"HIPPS-PE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy tube collar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7526","description":"Tracheostomy tube collar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB155","description":"HIPPS-LB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444U","description":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8D","description":"HIPPS-RMX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42405","description":"Biopsy of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho flex pavlik harns pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1620","description":"Ho flex pavlik harns pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate/inj ganglion cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20612","description":"Aspirate/inj ganglion cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 2 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95131","description":"Immntx 2 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0605","description":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18A","description":"HIPPS-CD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB221","description":"HIPPS-LB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disability examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99456","description":"Disability examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porc/ceram inlay >= 3 surfac","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6601","description":"Porc/ceram inlay >= 3 surfac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53251","description":"Anesth vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sales tax","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9985","description":"Sales tax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4338","description":"Indwelling catheter latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24120","description":"Remove elbow lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01484","description":"CPT-01484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6541","description":"Gc stocking waistlngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0566U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0566U","description":"CPT-0566U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54100","description":"Biopsy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72146","description":"MRI chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0221","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23C","description":"HIPPS-CC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytarabine hcl 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9100","description":"Cytarabine hcl 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0019","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21A","description":"HIPPS-HB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F5 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81241","description":"F5 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor rental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1031","description":"Gluc monitor rental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61546","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0D","description":"HIPPS-RMB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mattress innerspring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0271","description":"Mattress innerspring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brst cncr stage > t1n0m0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8881","description":"Brst cncr stage > t1n0m0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0598U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0598U","description":"CPT-0598U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ granisetron extended release_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9486","description":"Injection_ granisetron extended release_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1712","description":"Janssen Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12045","description":"Intmd rpr n-hf/genit12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispos cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0500","description":"Dispos cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of patient-activated cardiac event recorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33282","description":"Implantation of patient-activated cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtemporal decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61340","description":"Subtemporal decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43754","description":"Dx gastr intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxyprogesterone caproate_ (Makena)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1726","description":"Injection_ hydroxyprogesterone caproate_ (Makena)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tempr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278T","description":"Tempr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20900","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29305","description":"Application of hip cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glucagon hydrochloride (fresenius kabi)_ not therapeutically equivalent to j1610_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1611","description":"Injection_ glucagon hydrochloride (fresenius kabi)_ not therapeutically equivalent to j1610_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ leuprolide acetate for depot suspension (lutrate)_ 7.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1954","description":"Injection_ leuprolide acetate for depot suspension (lutrate)_ 7.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47125","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22D","description":"HIPPS-CA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare heart-aorta conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33404","description":"Prepare heart-aorta conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ot re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97004","description":"Ot re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK6","description":"HIPPS-5BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Installation_ ciprofloxacin otic suspension_ 6mg (Otiprio)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9479","description":"Installation_ ciprofloxacin otic suspension_ 6mg (Otiprio)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5D","description":"HIPPS-RHC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg rev/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93228","description":"Remote 30 day ecg rev/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin two surfaces-anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2331","description":"Resin two surfaces-anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone 17-d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83498","description":"Assay of progesterone 17-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50553","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9003","description":"HCPCS-J9003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvect canad sing axis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5280","description":"Hemipelvect canad sing axis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anidulafungin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0348","description":"Anidulafungin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB02","description":"HIPPS-RHB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ perc lumb disc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2614","description":"Probe_ perc lumb disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4385","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4385","description":"HCPCS-Q4385","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral reflux study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78740","description":"Ureteral reflux study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy administration with electroporation_ intramuscular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0732T","description":"Immunotherapy administration with electroporation_ intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft sclp/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15220","description":"Skin full graft sclp/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2002","description":"N-et; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8X","description":"HIPPS-RHB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No antihist/decong rx/recom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4134F","description":"No antihist/decong rx/recom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9912","description":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-appro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2001","description":"Brief (20 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiology port images(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77417","description":"Radiology port images(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epifix_ inj_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4145","description":"Epifix_ inj_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK2","description":"HIPPS-3CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect face/scalp tum 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21016","description":"Resect face/scalp tum 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate finger w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26340","description":"Manipulate finger w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10A","description":"HIPPS-HD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78202","description":"Liver imaging with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1B","description":"HIPPS-RMX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert hepatic shunt (tips)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37182","description":"Insert hepatic shunt (tips)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Via matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4309","description":"Via matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28546","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36014","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB17","description":"HIPPS-RMB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX32","description":"HIPPS-RVX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe/needle_ cryo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2618","description":"Probe/needle_ cryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occult bld feces 1-3 tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82272","description":"Occult bld feces 1-3 tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0997T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0997T","description":"CPT-0997T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration behind upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31040","description":"Exploration behind upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0119","description":"Ondansetron 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93151","description":"Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c dpth 22-25 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2343","description":"W/c dpth 22-25 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13D","description":"HIPPS-HD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood prep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86930","description":"Frozen blood prep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76376","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27606","description":"Incision of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); duplication/deletion variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81363","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); duplication/deletion variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB260","description":"HIPPS-CB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8B","description":"HIPPS-RHC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11A","description":"HIPPS-CD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/attach implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65105","description":"Remove eye/attach implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90616","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90616","description":"CPT-90616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28F","description":"HIPPS-PD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0836T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rb82 rubidium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9555","description":"Rb82 rubidium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48000","description":"Drainage of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professiona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93792","description":"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23A","description":"HIPPS-LE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK1","description":"HIPPS-5AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0704","description":"HCPCS-A0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conversion ext bil drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47535","description":"Conversion ext bil drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMS","description":"HIPPS-2AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28225","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD105","description":"HIPPS-PD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 25%_ 20 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9046","description":"Albumin (human)_ 25%_ 20 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Had smoke b/4 anes day surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9645","description":"Had smoke b/4 anes day surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33267","description":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215U","description":"RARE DS XOM DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43313","description":"Esophagoplasty congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stnlss steel crown pe","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2931","description":"Prefab stnlss steel crown pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed var ht w/ mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0255","description":"Hospital bed var ht w/ mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00702","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00702","description":"CPT-00702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingival flap proc w/ planin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4240","description":"Gingival flap proc w/ planin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES115","description":"HIPPS-ES115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35506","description":"Art byp grft subclav-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-t9 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0455","description":"Tlso flex trnk sj-t9 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24310","description":"Revision of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32A","description":"HIPPS-ES32A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow up pulm nod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9345","description":"Follow up pulm nod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0322U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor immunohistochem/manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88360","description":"Tumor immunohistochem/manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc viral load <200","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9243","description":"Doc viral load <200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vabra aspirator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4480","description":"Vabra aspirator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25628","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78264","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of metatarsal heads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28114","description":"Removal of metatarsal heads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM5","description":"HIPPS-3AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA15","description":"HIPPS-RVA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7519","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive review of data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88325","description":"Comprehensive review of data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99427","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ multiple analytes_ quantitative_ single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82544","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ multiple analytes_ quantitative_ single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert needle cath bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44015","description":"Insert needle cath bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Giardia ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87269","description":"Giardia ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263T","description":"Im b1 mrw cel ther cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41520","description":"Reconstruction tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC245","description":"HIPPS-HC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49440","description":"Place gastrostomy tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8646","description":"Asthma mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 4 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95864","description":"Muscle test 4 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung artery emboli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33910","description":"Remove lung artery emboli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 35","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0408","description":"Inpt/tele follow up 35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA14","description":"HIPPS-RMA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx/pro/dx inj new drug addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96375","description":"Tx/pro/dx inj new drug addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee pt noelg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8649","description":"Fun stat score knee pt noelg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5D","description":"HIPPS-RHX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96935","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care not documented_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1222","description":"Glaucoma plan of care not documented_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo pos solid ank plastic mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1960","description":"Afo pos solid ank plastic mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77615","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniowrap2_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4221","description":"Amniowrap2_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76812","description":"Ob us detailed addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD240","description":"HIPPS-HD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft head/neck ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64645","description":"Chemodenerv 1 extrem 5/> ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM3","description":"HIPPS-2CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care service /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5126","description":"Attendant care service /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9834","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Erwinaze injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9019","description":"Erwinaze injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special anesthesia service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99100","description":"Special anesthesia service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA216","description":"HIPPS-BA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3011F","description":"Lipid panel doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ brexanolone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1632","description":"Injection_ brexanolone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN1","description":"HIPPS-3BHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of scleral staphyloma; without graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66220","description":"Repair of scleral staphyloma; without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of salivary gland","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7981","description":"Excision of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA54","description":"HIPPS-RHA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23A","description":"HIPPS-PB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD151","description":"HIPPS-LD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50961","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca1 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81215","description":"Brca1 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0853","description":"Pwc gp 3 vhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho(d) immune globulin h_ sd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2792","description":"Rho(d) immune globulin h_ sd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevate footrest articulate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0053","description":"Elevate footrest articulate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK6","description":"HIPPS-2AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLW","description":"HIPPS-3AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech threshold audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92555","description":"Speech threshold audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14751","description":"Anesth iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29450","description":"Application of leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1016","description":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236U","description":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27734","description":"Repair lower leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch thermoplsty 1 lobe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31660","description":"Bronch thermoplsty 1 lobe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25C","description":"HIPPS-LC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37283","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37283","description":"CPT-37283","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81300","description":"Msh6 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject r ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93566","description":"Inject r ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin copper sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83026","description":"Hemoglobin copper sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rear whl compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0070","description":"Rear whl compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91304","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko supracondylar socket mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1860","description":"Ko supracondylar socket mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9678","description":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77058","description":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stgi no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9063","description":"Onc dx nsclc stgi no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain arm/elbow bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23935","description":"Drain arm/elbow bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4D","description":"HIPPS-RUC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26474","description":"Fusion of finger tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78473","description":"Gated heart multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9734","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD120","description":"HIPPS-HD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020M","description":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Touch quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106T","description":"Touch quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6548","description":"HCPCS-A6548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22B","description":"HIPPS-LD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant not specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80338","description":"Antidepressant not specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound warming device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0231","description":"Wound warming device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74260","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts not don","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8674","description":"Fun stat scor nek/ts not don","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubular dressing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6457","description":"Tubular dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No beta-lactam abx ther_ rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9560","description":"No beta-lactam abx ther_ rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh svc plan dev by non-md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0032","description":"Mh svc plan dev by non-md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consult inc prep of slides","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0485","description":"Consult inc prep of slides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPW","description":"HIPPS-3AHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mon anesth care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9654","description":"Mon anesth care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10A","description":"HIPPS-ES10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29700","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE221","description":"HIPPS-PE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88377","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00873","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00873","description":"CPT-00873","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0301","description":"HCPCS-A0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pertechnetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9512","description":"Tc99m pertechnetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286U","description":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vantas implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9225","description":"Vantas implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK4","description":"HIPPS-4AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2093","description":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12014","description":"Rpr f/e/e/n/l/m 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90875","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt trnsfrd from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581F","description":"Pt trnsfrd from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456U","description":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoablate renal mass open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50250","description":"Cryoablate renal mass open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87497","description":"Cytomeg dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMT","description":"HIPPS-2AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reticyte/hgb concentrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85046","description":"Reticyte/hgb concentrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93569","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12A","description":"HIPPS-PC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Theraskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4121","description":"Theraskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8815","description":"Doc reas no statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLT","description":"HIPPS-4BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30465","description":"Repair nasal stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX32","description":"HIPPS-RHX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atomic absorption","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82190","description":"Atomic absorption","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services used by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9709","description":"Hospice services used by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB241","description":"HIPPS-LB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES335","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES335","description":"HIPPS-ES335","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong clincl staff svc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99415","description":"Prolong clincl staff svc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD236","description":"HIPPS-HD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8010","description":"HCPCS-C8010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA101","description":"HIPPS-BA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean birth class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9438","description":"Cesarean birth class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14A","description":"HIPPS-HE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01968","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01968","description":"CPT-01968","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PABPN1 (poly[A] binding protein nuclear 1) (eg_ oculopharyngeal muscular dystrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81312","description":"PABPN1 (poly[A] binding protein nuclear 1) (eg_ oculopharyngeal muscular dystrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99231","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound exam follow-up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76970","description":"Ultrasound exam follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK3","description":"HIPPS-4BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372U","description":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose with potassium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5012","description":"5% dextrose with potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4269","description":"Surgraft xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4437","description":"HCPCS-Q4437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paclitaxel protein bound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9264","description":"Paclitaxel protein bound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump optical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0477","description":"Drug test presump optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15110","description":"Epidrm autogrft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back upholstery_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0982","description":"Back upholstery_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of oral tissue soft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7286","description":"Biopsy of oral tissue soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69200","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10A","description":"HIPPS-BB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175U","description":"PSYC GEN ALYS PANEL 15 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Degarelix injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9155","description":"Degarelix injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18E","description":"HIPPS-LD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2171","description":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM1","description":"HIPPS-1AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0773T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Certified nurse midwife mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0064","description":"Certified nurse midwife mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12451","description":"Anesth ear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7402","description":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80204","description":"Methotrexate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMX","description":"HIPPS-1CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derma-fat-fascia graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15770","description":"Derma-fat-fascia graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64468","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64468","description":"CPT-64468","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2381","description":"Pneum drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99203","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD210","description":"HIPPS-CD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB217","description":"HIPPS-BB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst metastic/ recur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9075","description":"Onc dx brst metastic/ recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26641","description":"Treat thumb dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Empiric antibiotic rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4045F","description":"Empiric antibiotic rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0871T","description":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sirolimus protein-bound particles_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9091","description":"Injection_ sirolimus protein-bound particles_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shorten/lengthen thighs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27468","description":"Shorten/lengthen thighs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow adolescent myoelectron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7190","description":"Elbow adolescent myoelectron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0A","description":"HIPPS-RUX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0670U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0670U","description":"CPT-0670U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef spec metabolic noninherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4154","description":"Ef spec metabolic noninherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD101","description":"HIPPS-PD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL40","description":"HIPPS-RHL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cauterization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57510","description":"Cauterization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/o eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37216","description":"Transcath stent cca w/o eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatrem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2940","description":"Somatrem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional pontic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6253","description":"Provisional pontic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21A","description":"HIPPS-HC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01932","description":"CPT-01932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3386","description":"HCPCS-J3386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3807","description":"Whfo w/o joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81349","description":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62325","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92311","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodic orthodontc tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8670","description":"Periodic orthodontc tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies stand/rack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1355","description":"Oxygen supplies stand/rack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper limb orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3999","description":"Upper limb orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp prob 1+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87501","description":"Influenza dna amp prob 1+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63102","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA10","description":"HIPPS-RVA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0490","description":"Belimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32480","description":"Partial removal of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9367","description":"Hit tpn 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28A","description":"HIPPS-LE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76019","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76019","description":"CPT-76019","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB113","description":"HIPPS-HB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family stabilization 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9482","description":"Family stabilization 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6601","description":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB56","description":"HIPPS-RMB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn over 3l diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9368","description":"Hit tpn over 3l diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99191","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miroderm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4175","description":"Miroderm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Underarm crutch pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4635","description":"Underarm crutch pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK5","description":"HIPPS-5CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1010","description":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10007","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus after cesarean","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59525","description":"Remove uterus after cesarean","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13120","description":"Cmplx rpr s/a/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK4","description":"HIPPS-2BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21127","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5145","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5145","description":"HCPCS-Q5145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/lung bx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31632","description":"Bronchoscopy/lung bx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33535","description":"Cabg arterial three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain 2 piece system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4426","description":"Ost pch drain 2 piece system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5278","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB141","description":"HIPPS-LB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1456","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1456","description":"HCPCS-M1456","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ metronidazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0030","description":"Injection_ metronidazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cam relese assem ftrst/lgrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0051","description":"Cam relese assem ftrst/lgrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musc test done w/n test comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95886","description":"Musc test done w/n test comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho heel count plast reinfor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3430","description":"Sho heel count plast reinfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9313","description":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9991","description":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1237","description":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1093T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1093T","description":"CPT-1093T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPX","description":"HIPPS-1AGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13B","description":"HIPPS-HB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86408","description":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter for hysterography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58340","description":"Catheter for hysterography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Discography cerv/thor spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72285","description":"Discography cerv/thor spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho sidebar disconnect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2768","description":"Ortho sidebar disconnect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ pasireotide long acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2502","description":"Inj_ pasireotide long acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28645","description":"Repair toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0381","description":"Cone beam ct capt mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43195","description":"Esophagoscopy rigid balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69300","description":"Revise external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So 8 abd restraint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3650","description":"So 8 abd restraint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7939","description":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25312","description":"Transplant forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig bmi calculation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8422","description":"Pt inelig bmi calculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10D","description":"HIPPS-CC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27111","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL1","description":"HIPPS-1CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone algrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20930","description":"Sp bone algrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8691","description":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haloperidol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80173","description":"Assay of haloperidol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L7406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7406","description":"HCPCS-L7406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr27 non-sealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2372","description":"Gr27 non-sealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE113","description":"HIPPS-PE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95833","description":"Body muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22532","description":"Lat thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb ag response t-cell susp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86481","description":"Tb ag response t-cell susp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0239","description":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM6","description":"HIPPS-3AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee orth pos locking joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1831","description":"Knee orth pos locking joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB245","description":"HIPPS-BB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC15","description":"HIPPS-RHC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78814","description":"Pet image w/ct lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj excisn of joint membrane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7854","description":"Tmj excisn of joint membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-phospholipid antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86148","description":"Anti-phospholipid antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0071","description":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counseling 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96040","description":"Genetic counseling 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA01","description":"HIPPS-RVA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pelvis surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84451","description":"Anesth pelvis surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49659","description":"Laparo proc hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE255","description":"HIPPS-CE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood collection tube/vacuum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4770","description":"Blood collection tube/vacuum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX26","description":"HIPPS-RMX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear canal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69140","description":"Remove ear canal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081U","description":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48155","description":"Removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ initial plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0280","description":"Medical home_ initial plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00630","description":"CPT-00630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29875","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bezlotoxumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0565","description":"Injection_ bezlotoxumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8F","description":"HIPPS-RVA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0434","description":"Specialty care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA30","description":"HIPPS-RUA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62329","description":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28530","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-eval post-op visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0171","description":"Re-eval post-op visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC215","description":"HIPPS-LC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticul switch ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6920","description":"Wrist disarticul switch ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin ext jnts fld swg e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5726","description":"Knee-shin ext jnts fld swg e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conn tiss_ non-human","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1763","description":"Conn tiss_ non-human","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32220","description":"Release of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88161","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA126","description":"HIPPS-CA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1A","description":"HIPPS-RLA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28F","description":"HIPPS-CD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tbo-filgrastim_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1446","description":"Injection_ tbo-filgrastim_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coma stimulation per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9056","description":"Coma stimulation per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0513U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0513U","description":"CPT-0513U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0493","description":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5926","description":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1477","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1477","description":"HCPCS-M1477","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8B","description":"HIPPS-RMX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES101","description":"HIPPS-ES101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0508T","description":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aluminum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82108","description":"Assay of aluminum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA145","description":"HIPPS-CA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anogenital exam child w imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99170","description":"Anogenital exam child w imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4040","description":"Cast sup shrt leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB236","description":"HIPPS-PB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74263","description":"Ct colonography screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert endovasc prosth taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33883","description":"Insert endovasc prosth taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of rbc pg6d enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84085","description":"Assay of rbc pg6d enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii vw ristoctn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85245","description":"Clot factor viii vw ristoctn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22A","description":"HIPPS-HD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21556","description":"Exc neck tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES350","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES350","description":"HIPPS-ES350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23A","description":"HIPPS-LD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70487","description":"Ct maxillofacial w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rimantadine hcl 100mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9020","description":"Rimantadine hcl 100mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palifermin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2425","description":"Palifermin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport meals escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0210","description":"Noner transport meals escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quality care in mental health and substance use disorders mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1369","description":"Quality care in mental health and substance use disorders mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp without stand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0200","description":"Heat lamp without stand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88154","description":"Cytopath c/v select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES312","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES312","description":"HIPPS-ES312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415U","description":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21A","description":"HIPPS-CD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMW","description":"HIPPS-1AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8005","description":"HCPCS-C8005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of non tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9275","description":"Doc of non tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC02","description":"HIPPS-RHC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62323","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4039","description":"Cast sup shrt leg ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrodes_ pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4556","description":"Electrodes_ pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs spinal lesion addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63621","description":"Srs spinal lesion addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pne scrn done doc vac done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9279","description":"Pne scrn done doc vac done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31267","description":"Endoscopy maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry threshold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210T","description":"Speech audiometry threshold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99242","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28080","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx chron care w/o pt vsit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99487","description":"Cmplx chron care w/o pt vsit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1488","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1488","description":"HCPCS-M1488","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB231","description":"HIPPS-HB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL4","description":"HIPPS-4CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv combination assay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0475","description":"Hiv combination assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dev interrog remote 1/2/mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93295","description":"Dev interrog remote 1/2/mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28400","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28039","description":"Exc foot/toe tum sc 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA240","description":"HIPPS-BA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Systemic corticosteroids rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4135F","description":"Systemic corticosteroids rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Program intake assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1023","description":"Program intake assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73201","description":"Ct upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46615","description":"Anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14A","description":"HIPPS-HD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic mold recipro hip & c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2627","description":"Plastic mold recipro hip & c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM1","description":"HIPPS-2CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair double ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33612","description":"Repair double ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient gauntlet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8428","description":"Ready gradient gauntlet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64605","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4C","description":"HIPPS-RML4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM4","description":"HIPPS-2BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1062","description":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem urinary collect dev cup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4327","description":"Fem urinary collect dev cup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58322","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33647","description":"Repair heart septum defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbit surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67599","description":"Orbit surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1023","description":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trapezius sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1070","description":"Trapezius sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0A","description":"HIPPS-RHA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0806","description":"Pov group 2 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bld inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9625","description":"Bld inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN6","description":"HIPPS-3CHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0A","description":"HIPPS-RUC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot longitudinal arch suppo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3010","description":"Foot longitudinal arch suppo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko w/adj jt rot cntrl molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1844","description":"Ko w/adj jt rot cntrl molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies regulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1353","description":"Oxygen supplies regulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81214","description":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90682","description":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX55","description":"HIPPS-RMX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35011","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7196","description":"Antithrombin recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97761","description":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKV","description":"HIPPS-2CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intercep dental tx transitn","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8060","description":"Intercep dental tx transitn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49611","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis and bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54390","description":"Repair penis and bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0983","description":"Add pwr joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical cauterization of granulation tissue (ie_ proud flesh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17250","description":"Chemical cauterization of granulation tissue (ie_ proud flesh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21632","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11B","description":"HIPPS-BA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB234","description":"HIPPS-BB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restorative foundation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2949","description":"Restorative foundation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77057","description":"Mammogram screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46922","description":"Excision of anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA22","description":"HIPPS-RVA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy with biopsies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44322","description":"Colostomy with biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36903","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation supply sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4397","description":"Irrigation supply sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKT","description":"HIPPS-1CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1338","description":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46280","description":"Remove anal fist complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care mngment training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97535","description":"Self care mngment training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg (Nucala)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9473","description":"Injection_ mepolizumab_ 1 mg (Nucala)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0130U","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25391","description":"Lengthen radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5114","description":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15877","description":"Suction lipectomy trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93724","description":"Analyze pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3085F","description":"Suicide risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6520","description":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9281","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24145","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3401","description":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA50","description":"HIPPS-RHA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0082","description":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digit nerve surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64778","description":"Digit nerve surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4316","description":"Cath w/drainage 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2189","description":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniocentesis therapeutic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59001","description":"Amniocentesis therapeutic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vacc ped/adol 3 dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90634","description":"Hepa vacc ped/adol 3 dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj cutting into joint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7860","description":"Tmj cutting into joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64792","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81204","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA216","description":"HIPPS-CA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29125","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKT","description":"HIPPS-2BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx thigh fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27268","description":"Cltx thigh fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87511","description":"Gardner vag dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90837","description":"Psytx pt&/family 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthrp ant appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375T","description":"Total disc arthrp ant appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal microbiota prep instil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0455","description":"Fecal microbiota prep instil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric p r1-r2noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9101","description":"Onc dx gastric p r1-r2noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12A","description":"HIPPS-LC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5504","description":"Diabetic shoe with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reset dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21480","description":"Reset dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo anti-neopl sq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96401","description":"Chemo anti-neopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37281","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37281","description":"CPT-37281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0464","description":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intradiscal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1754","description":"Catheter_ intradiscal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 1-4 ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64643","description":"Chemodenerv 1 extrem 1-4 ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB130","description":"HIPPS-HB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL44","description":"HIPPS-RVL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKW","description":"HIPPS-5BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1520","description":"Heparin infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand-held pefr meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4614","description":"Hand-held pefr meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC216","description":"HIPPS-HC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upr/lxtr art stdy 3+ lvls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93923","description":"Upr/lxtr art stdy 3+ lvls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump opt inst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0478","description":"Drug test presump opt inst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1013T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1013T","description":"CPT-1013T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0056U","description":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82375","description":"Assay carboxyhb quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2089","description":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid imaging w/blood flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78013","description":"Thyroid imaging w/blood flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2123","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25A","description":"HIPPS-PC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMT","description":"HIPPS-2BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB101","description":"HIPPS-PB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 6/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72084","description":"X-ray exam entire spi 6/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert silicone gel eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3003","description":"Foot insert silicone gel eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9093","description":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9536","description":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1401","description":"HCPCS-C1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM2","description":"HIPPS-1BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1376","description":"HCPCS-M1376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-4 no dx prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9086","description":"Onc dx colon t1-4 no dx prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium thiosulfate_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0208","description":"Injection_ sodium thiosulfate_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1707","description":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL6","description":"HIPPS-3CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us < 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76802","description":"Ob us < 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9781","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23B","description":"HIPPS-CB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34717","description":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64896","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3376","description":"HCPCS-J3376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop ultrasound exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43231","description":"Esophagoscop ultrasound exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1108","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69660","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47720","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86851","description":"Anesth kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vinblastine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9360","description":"Vinblastine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc cur meds by prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8427","description":"Doc cur meds by prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lwr xtr vasc stdy bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93924","description":"Lwr xtr vasc stdy bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io rad tx deliver by elctrns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77425","description":"Io rad tx deliver by elctrns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD136","description":"HIPPS-HD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethosuximide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80168","description":"Assay of ethosuximide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63017","description":"Remove spine lamina >2 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbrt management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77435","description":"Sbrt management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76101","description":"Complex body section x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21615","description":"Removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd digitized pre-rec <=8min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2500","description":"Sgd digitized pre-rec <=8min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28H","description":"HIPPS-PB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/markers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31626","description":"Bronchoscopy w/markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75860","description":"Vein x-ray neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC120","description":"HIPPS-HC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLV","description":"HIPPS-4CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9034","description":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25574","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB216","description":"HIPPS-CB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraor complete film series","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0210","description":"Intraor complete film series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA211","description":"HIPPS-BA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5A","description":"HIPPS-RVL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate laser enucleation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52649","description":"Prostate laser enucleation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevating whlchair leg rests","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0195","description":"Elevating whlchair leg rests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9981","description":"Med record copy admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL2","description":"HIPPS-4AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0999T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0999T","description":"CPT-0999T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253U","description":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-n3 inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9215","description":"Interferon alfa-n3 inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8811","description":"No rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK6","description":"HIPPS-2BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31648","description":"Bronchial valve remov init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20206","description":"Needle biopsy muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96573","description":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/4.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2309","description":"Lens sphc trifocal 4.25-7/4.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLX","description":"HIPPS-2AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0743","description":"HCPCS-E0743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attached to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0920","description":"Fracture frame attached to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing complete hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81379","description":"Hla i typing complete hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD250","description":"HIPPS-CD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flexible brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43200","description":"Esophagoscopy flexible brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent same","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37238","description":"Open/perq place stent same","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8C","description":"HIPPS-RMA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft een & lips","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15260","description":"Skin full graft een & lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr complx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61697","description":"Brain aneurysm repr complx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50610","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21436","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9699","description":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infiltration of sustained release therapeutic drug - single or multiple sites","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9613","description":"Infiltration of sustained release therapeutic drug - single or multiple sites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening fentanyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80354","description":"Drug screening fentanyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol mask used w nebulize","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7015","description":"Aerosol mask used w nebulize","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB254","description":"HIPPS-BB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1832","description":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25265","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Split blood or products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86985","description":"Split blood or products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DI GNOTYP SLC4A1 EXON 19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0183U","description":"DI GNOTYP SLC4A1 EXON 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58301","description":"Remove intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval trac inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9606","description":"Intraop cyst eval trac inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehab/monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93798","description":"Cardiac rehab/monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX53","description":"HIPPS-RMX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcran magn stim redetemine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90869","description":"Tcran magn stim redetemine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9293","description":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mandible cyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21046","description":"Remove mandible cyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLV","description":"HIPPS-4AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA52","description":"HIPPS-RVA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64656","description":"CPT-64656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical testimony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99075","description":"Medical testimony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable endoscope sheath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4270","description":"Disposable endoscope sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laundry serv_ext_prof_/order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5175","description":"Laundry serv_ext_prof_/order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1C","description":"HIPPS-RLX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84300","description":"Assay of urine sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Not Referred_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0039","description":"Patient Not Referred_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9993","description":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of unstable kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27422","description":"Revision of unstable kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rib fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21813","description":"Treatment of rib fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA225","description":"HIPPS-PA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bh ltc res r&b_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2048","description":"Bh ltc res r&b_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/2.12-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2108","description":"Spherocylinder 4.25d/2.12-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0992T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0992T","description":"CPT-0992T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap insert tunnel ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49324","description":"Lap insert tunnel ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0795T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ed svc ckd grp per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0421","description":"Ed svc ckd grp per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device handling phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99002","description":"Device handling phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ammonia test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4774","description":"Ammonia test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temple bne implnt w/stimulat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69715","description":"Temple bne implnt w/stimulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18D","description":"HIPPS-CE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outside state ambulance serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0021","description":"Outside state ambulance serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/fast/dir lab ldl-c >190","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9675","description":"Pt w/fast/dir lab ldl-c >190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0779T","description":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35A","description":"HIPPS-ES35A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m bicisate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9557","description":"Tc99m bicisate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image w/flow 4 + views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78606","description":"Brain image w/flow 4 + views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1402","description":"HCPCS-C1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0991T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0991T","description":"CPT-0991T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day center_ 8-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0530","description":"Adult day center_ 8-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42844","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth special head surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21851","description":"Anesth special head surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevat proximal arm support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2631","description":"Elevat proximal arm support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Clostridium difficile toxin A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87803","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Clostridium difficile toxin A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe sole wedge between sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3370","description":"Shoe sole wedge between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163U","description":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25622","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt simple w/comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77522","description":"Proton trmt simple w/comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc opioid tx 1x at ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9579","description":"No doc opioid tx 1x at ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8049","description":"Repair maxillofacial prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp add on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99150","description":"Mod sed diff phys/qhp add on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK6","description":"HIPPS-4CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1185","description":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate speech production","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92522","description":"Evaluate speech production","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stimulation brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95961","description":"Electrode stimulation brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00567","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00567","description":"CPT-00567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No assess bone loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8863","description":"No assess bone loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of arm artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35045","description":"Repair defect of arm artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full noble metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6792","description":"Crown full noble metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0569U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0569U","description":"CPT-0569U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12B","description":"HIPPS-CD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNU","description":"HIPPS-3CFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_c-131","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2643","description":"Brachytx_ non-stranded_c-131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor stent ather s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9602","description":"Perc d-e cor stent ather s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64713","description":"Revision of arm nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98972","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility cart pneum vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0502","description":"Mobility cart pneum vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2386","description":"Foam filled drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE245","description":"HIPPS-CE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72132","description":"Ct lumbar spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73223","description":"MRI joint upr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound char size etc docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2050F","description":"Wound char size etc docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dsg<=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6231","description":"Hydrogel dsg<=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMW","description":"HIPPS-1BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ulnar nerve at elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64718","description":"Revise ulnar nerve at elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9322","description":"No doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation for bladder xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51605","description":"Preparation for bladder xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd f/u w/in 7d disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9405","description":"Recd f/u w/in 7d disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32310","description":"Removal of chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deionizer h2o puri system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1615","description":"Deionizer h2o puri system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11313","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54500","description":"Biopsy of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE144","description":"HIPPS-PE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLV","description":"HIPPS-2BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA53","description":"HIPPS-RVA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77763","description":"Apply intrcav radiat compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9736","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM6","description":"HIPPS-1CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21C","description":"HIPPS-PD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextroamphetamine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0160","description":"Dextroamphetamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE101","description":"HIPPS-LE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove & graft wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25135","description":"Remove & graft wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid cell count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89050","description":"Body fluid cell count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph egd dilation <30 mm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43249","description":"Esoph egd dilation <30 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1151","description":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no pos air press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8849","description":"Doc reas no pos air press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement/function activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86161","description":"Complement/function activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67961","description":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15A","description":"HIPPS-LE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25505","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33803","description":"Repair vessel defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449U","description":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54332","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter_ including recording_ with interpretation and written report_ up to 30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95836","description":"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter_ including recording_ with interpretation and written report_ up to 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reminder serv per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5185","description":"Med reminder serv per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facili","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9753","description":"Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC250","description":"HIPPS-LC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tissue for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20926","description":"Removal of tissue for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0549T","description":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide (ingenus)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9073","description":"Injection_ cyclophosphamide (ingenus)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy cong add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44128","description":"Enterectomy cong add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5008","description":"Hearing screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB17","description":"HIPPS-RHB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB56","description":"HIPPS-RUB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl 11-12.9 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3280F","description":"Hgb lvl 11-12.9 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho cap design w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3961","description":"Sewho cap design w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posturography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92548","description":"Posturography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC115","description":"HIPPS-PC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove self-contd penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54415","description":"Remove self-contd penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18B","description":"HIPPS-PA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump not opt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0479","description":"Drug test presump not opt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fall plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518F","description":"Fall plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal vitamins 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0197","description":"Prenatal vitamins 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD205","description":"HIPPS-PD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia infuse each addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96423","description":"Chemo ia infuse each addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Participant-Directed Community Supports","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1900","description":"Participant-Directed Community Supports","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spine cord add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63066","description":"Decompress spine cord add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1001","description":"HCPCS-B1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1054T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1054T","description":"CPT-1054T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of left heart vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33989","description":"Removal of left heart vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8612","description":"Aqueous shunt prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9997","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9997","description":"HCPCS-Q9997","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for therapy guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77014","description":"Ct scan for therapy guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47480","description":"Incision of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70150","description":"X-ray exam of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/bio noc part b drug cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4082","description":"Drug/bio noc part b drug cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravasc us heart add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92979","description":"Intravasc us heart add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0534","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0534","description":"HCPCS-G0534","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10.1-30 sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14021","description":"Tis trnfr s/a/l 10.1-30 sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2310","description":"Electro connect btw control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-ss pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0456","description":"Tlso flex trnk sj-ss pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA05","description":"HIPPS-RHA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLS","description":"HIPPS-4AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost s/d ultlite mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7402","description":"Add ue prost s/d ultlite mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64891","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth face/skull bone surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19051","description":"Anesth face/skull bone surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61539","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-62331","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62331","description":"CPT-62331","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq device breast ea imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19282","description":"Perq device breast ea imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0143","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trimethobenzamide hcl 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0173","description":"Trimethobenzamide hcl 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27266","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ programmable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1772","description":"Infusion pump_ programmable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB33","description":"HIPPS-RMB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic radiation trmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77432","description":"Stereotactic radiation trmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit periorbtl implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21390","description":"Opn tx orbit periorbtl implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore abdominal vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35840","description":"Explore abdominal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 75 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7110","description":"Dextran 75 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14B","description":"HIPPS-BB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27840","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC101","description":"HIPPS-LC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tendons at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25300","description":"Fusion of tendons at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1348","description":"Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86309","description":"Heterophile antibody titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE130","description":"HIPPS-CE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5142","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5142","description":"HCPCS-Q5142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22D","description":"HIPPS-LC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1058T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1058T","description":"CPT-1058T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB12","description":"HIPPS-RUB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/snare","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44394","description":"Colonoscopy w/snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot s total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85305","description":"Clot inhibit prot s total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntiol category 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q1005","description":"Ntiol category 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1B","description":"HIPPS-RLX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3399","description":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7548","description":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI compatible system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0859","description":"MRI compatible system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"VitoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4317","description":"VitoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77076","description":"X-rays bone survey infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84144","description":"Assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNW","description":"HIPPS-3AGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPT","description":"HIPPS-3BHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idursulfase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1743","description":"Idursulfase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28I","description":"HIPPS-HE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC250","description":"HIPPS-CC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLV","description":"HIPPS-3CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9948","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMW","description":"HIPPS-1CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI brain done 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3112F","description":"CT/MRI brain done 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Windowing of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29730","description":"Windowing of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0800T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ udenyca 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5111","description":"Injection_ udenyca 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elliotts b solution per ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9175","description":"Elliotts b solution per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49190","description":"CPT-49190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine/uric acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84560","description":"Assay of urine/uric acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10C","description":"HIPPS-PD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7038","description":"Pos airway pressure filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of impacted wax md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0268","description":"Removal of impacted wax md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD110","description":"HIPPS-PD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy splenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38120","description":"Laparoscopy splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX12","description":"HIPPS-RLX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62147","description":"Repair of skull with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC212","description":"HIPPS-CC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95958","description":"Eeg monitoring/function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gel cap app device for trach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8515","description":"Gel cap app device for trach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL55","description":"HIPPS-RVL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of nephrostomy or pyelostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50398","description":"Change of nephrostomy or pyelostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular junction test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95937","description":"Neuromuscular junction test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25D","description":"HIPPS-CA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 locus hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81380","description":"Hla i typing 1 locus hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplj hematopoietic boost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38243","description":"Transplj hematopoietic boost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd injection varices","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43243","description":"Egd injection varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deliver placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59414","description":"Deliver placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate pulm tumors extnsn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340T","description":"Ablate pulm tumors extnsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay activated protein c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85307","description":"Assay activated protein c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38500","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth trachea bronchi surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54851","description":"Anesth trachea bronchi surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0625T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33641","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy excisional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20245","description":"Bone biopsy excisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy per page","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9982","description":"Med record copy per page","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC50","description":"HIPPS-RVC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0603","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0603","description":"CDT-D0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/vc inj + scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31571","description":"Laryngoscop w/vc inj + scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct sft tsue nck w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70492","description":"Ct sft tsue nck w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102T","description":"Extracorp shockwv tx anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88367","description":"Insitu hybridization auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28X","description":"HIPPS-HE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6999","description":"Fixed prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacemnt lithium ionbatter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7367","description":"Replacemnt lithium ionbatter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neonatal emergency transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0225","description":"Neonatal emergency transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue and neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41135","description":"Tongue and neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC45","description":"HIPPS-RHC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hf mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8551","description":"Hf mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part maxil lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5760","description":"Denture reln part maxil lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9098","description":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1074","description":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23A","description":"HIPPS-HE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81298","description":"Msh6 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer administration set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7003","description":"Nebulizer administration set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fam-trastuzumab deruxtecan-nxki_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9358","description":"Injection_ fam-trastuzumab deruxtecan-nxki_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96137","description":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging 3 phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78315","description":"Bone imaging 3 phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6pc gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81250","description":"G6pc gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7610","description":"Albuterol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC125","description":"HIPPS-HC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK6","description":"HIPPS-5AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Sublocade)_ greater than 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9992","description":"Injection_ buprenorphine extended-release (Sublocade)_ greater than 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKW","description":"HIPPS-2BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLS","description":"HIPPS-3CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No eval activity clin symp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3119F","description":"No eval activity clin symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric wound treatment dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0769","description":"Electric wound treatment dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp sphincter pressure meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43263","description":"Ercp sphincter pressure meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Folding ped wc tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1232","description":"Folding ped wc tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin-protamine tolerance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85530","description":"Heparin-protamine tolerance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit picc insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5520","description":"Hit picc insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15D","description":"HIPPS-PC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB226","description":"HIPPS-HB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis of saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0418","description":"Analysis of saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove radius head implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24164","description":"Remove radius head implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0495T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC45","description":"HIPPS-RUC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate unknwn nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9083","description":"Onc dx prostate unknwn nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24B","description":"HIPPS-CD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infrared ht sys replcmnt pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4639","description":"Infrared ht sys replcmnt pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below/above elbow lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6698","description":"Below/above elbow lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4B","description":"HIPPS-RHX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies with pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4222","description":"Infusion supplies with pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12B","description":"HIPPS-CA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy for aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31515","description":"Laryngoscopy for aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1072","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1072","description":"HCPCS-J1072","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11C","description":"HIPPS-PC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25915","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone_ lacrimal ophthalmic insert_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1096","description":"Dexamethasone_ lacrimal ophthalmic insert_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21280","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1047","description":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea not present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1018F","description":"Assess dyspnea not present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC134","description":"HIPPS-LC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Number of patients screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1207","description":"Number of patients screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM6","description":"HIPPS-2BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Procalcitonin (pct)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84145","description":"Procalcitonin (pct)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB260","description":"HIPPS-BB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoluminal bx urtr rnl plvs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50606","description":"Endoluminal bx urtr rnl plvs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn pt cath >=90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9266","description":"Norsn pt cath >=90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a suicide safety plan initiated_ reviewed_ or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1351","description":"Patients who had a suicide safety plan initiated_ reviewed_ or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20B","description":"HIPPS-BA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL50","description":"HIPPS-RVL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC136","description":"HIPPS-PC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX41","description":"HIPPS-RHX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0203","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0203","description":"CDT-D0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ retifanlimab-dlwr_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9345","description":"Injection_ retifanlimab-dlwr_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening barbiturates","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80345","description":"Drug screening barbiturates","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0970T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0970T","description":"CPT-0970T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94452","description":"Hast w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan tlk docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1158F","description":"Advnc care plan tlk docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst hgh nble mtl inlay >=3sr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6603","description":"Cst hgh nble mtl inlay >=3sr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC131","description":"HIPPS-CC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0477T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olaratumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9285","description":"Injection_ olaratumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc visit unspecified nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9055","description":"Onc visit unspecified nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76516","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00400","description":"CPT-00400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embedded ip cath exit-site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49436","description":"Embedded ip cath exit-site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interleukin-6 (Il-6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83529","description":"Interleukin-6 (Il-6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59515","description":"Cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6024","description":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC30","description":"HIPPS-RVC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intragastric hypothermia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0100","description":"Intragastric hypothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi wireless capsule measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91112","description":"Gi wireless capsule measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi den insert custom mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5513","description":"Multi den insert custom mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9988","description":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions over 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11057","description":"Trim skin lesions over 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automatic bp monitor_ dial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4670","description":"Automatic bp monitor_ dial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (Perseris)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9037","description":"Injection_ risperidone (Perseris)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33221","description":"Insert pulse gen mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45303","description":"Proctosigmoidoscopy dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37788","description":"Revascularization penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 7-12 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22802","description":"Post fusion 7-12 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44403","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 9-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88188","description":"Flowcytometry/read 9-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tilt table evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93660","description":"Tilt table evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLW","description":"HIPPS-3CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25450","description":"Revision of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL2","description":"HIPPS-1BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLW","description":"HIPPS-4BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth major vein ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88251","description":"Anesth major vein ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bumetanide 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0171","description":"Bumetanide 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA40","description":"HIPPS-RMA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine reagent strips/tablets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4250","description":"Urine reagent strips/tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9980","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32442","description":"Sleeve pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11C","description":"HIPPS-LD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening; blood-based biomarker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0327","description":"Colorectal cancer screening; blood-based biomarker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moisture exchanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4483","description":"Moisture exchanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med docrsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9210","description":"No hepc rna after med docrsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00908","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00908","description":"CPT-00908","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screeningmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0202","description":"Screeningmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00100","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00100","description":"CPT-00100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Com wrap-around sv_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2022","description":"Com wrap-around sv_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27448","description":"Incision of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intl custm cong/latyp insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5681","description":"Intl custm cong/latyp insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/treat lung lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32141","description":"Remove/treat lung lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64561","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad w/o backup non-inv intfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0470","description":"Rad w/o backup non-inv intfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Placement And Subsequent Removal Of Cerebral Embolic Protection Device(S)_ Including Arterial Access_ Catheterization_ Imaging_ And Radiological Supervision And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33370","description":"Transcatheter Placement And Subsequent Removal Of Cerebral Embolic Protection Device(S)_ Including Arterial Access_ Catheterization_ Imaging_ And Radiological Supervision And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9061","description":"Injection_ teprotumumab-trbw_10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec downld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94776","description":"Ped home apnea rec downld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy adrenalectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60650","description":"Laparoscopy adrenalectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj calcitriol per 0.1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0636","description":"Inj calcitriol per 0.1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis auto w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81003","description":"Urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35005","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comm trans waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2038","description":"Comm trans waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63182","description":"Revise spinal cord ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperbaric oxygen therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99183","description":"Hyperbaric oxygen therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33984","description":"Ecmo/ecls rmvl prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28G","description":"HIPPS-BB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5071","description":"Urinary pouch w/barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5C","description":"HIPPS-RUL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs discogenic pain i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0612T","description":"Mrs discogenic pain i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB135","description":"HIPPS-CB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81106","description":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levoleucovorin (khapzory)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0642","description":"Injection_ levoleucovorin (khapzory)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery angio s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93454","description":"Coronary artery angio s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert idrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63305","description":"Remove vert idrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81296","description":"Msh2 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9628","description":"Vis inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5C","description":"HIPPS-RLA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41006","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72141","description":"MRI neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4003","description":"Emergency Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ durvalumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9173","description":"Injection_ durvalumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant breast silicone/eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8600","description":"Implant breast silicone/eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0A","description":"HIPPS-RMC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultra High Rehab _ ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"RUC01","description":"Ultra High Rehab _ ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not achieve flat retinas six months post surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9379","description":"Patient did not achieve flat retinas six months post surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52500","description":"Revision of bladder neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2112","description":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy dx sep proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58555","description":"Hysteroscopy dx sep proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27256","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA06","description":"HIPPS-RVA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9905","description":"Patient not screened for tobacco use_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"teledentistry synchronous real time encounter","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9995","description":"teledentistry synchronous real time encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4377","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4377","description":"HCPCS-Q4377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External transmitter_ cgm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9277","description":"External transmitter_ cgm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no tx sys bio rx 6 mths","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9653","description":"Pt no tx sys bio rx 6 mths","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00848","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00848","description":"CPT-00848","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human epididymis protein 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86305","description":"Human epididymis protein 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace duod/jej tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49451","description":"Replace duod/jej tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sternal pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1050","description":"Sternal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22B","description":"HIPPS-HC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54380","description":"Repair penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93227","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0827T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexible keel foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5972","description":"Flexible keel foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc leukoreduced irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9040","description":"Rbc leukoreduced irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66999","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct bronchus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31775","description":"Reconstruct bronchus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percut allergy skin tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95004","description":"Percut allergy skin tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1302","description":"HCPCS-B1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD114","description":"HIPPS-LD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21A","description":"HIPPS-CA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0801","description":"HCPCS-C0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96165","description":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21B","description":"HIPPS-PA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert idrl bdy thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63306","description":"Remov vert idrl bdy thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC07","description":"HIPPS-RUC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL20","description":"HIPPS-RHL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78265","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert brain-fluid device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61215","description":"Insert brain-fluid device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC41","description":"HIPPS-RUC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8B","description":"HIPPS-RUC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0784T","description":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86971","description":"Rbc pretx incubatj w/enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9607","description":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium lu 177_ dotatate_ therapeutic_ 1 millicure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9513","description":"Lutetium lu 177_ dotatate_ therapeutic_ 1 millicure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62190","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj pls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409T","description":"Insj/rplc cardiac modulj pls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML20","description":"HIPPS-RML20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1438","description":"HCPCS-M1438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1197","description":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKU","description":"HIPPS-5BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23C","description":"HIPPS-HB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/bladder repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51925","description":"Hysterectomy/bladder repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matristem burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4120","description":"Matristem burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5170","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5170","description":"HCPCS-Q5170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC22","description":"HIPPS-RVC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb therapy rxd/taken","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4010F","description":"Ace/arb therapy rxd/taken","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8F","description":"HIPPS-RVL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00640","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00640","description":"CPT-00640","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26755","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5877","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5877","description":"CDT-D5877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroesophageal reflux test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91034","description":"Gastroesophageal reflux test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy infusion method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96425","description":"Chemotherapy infusion method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 1st dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0249","description":"Adm Tocilizu COVID-19 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2291","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2291","description":"HCPCS-J2291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gba gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81251","description":"Gba gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61000","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL32","description":"HIPPS-RUL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21B","description":"HIPPS-PC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0037U","description":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22D","description":"HIPPS-ES22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0185","description":"Injection_ aprepitant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLX","description":"HIPPS-1AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4B","description":"HIPPS-RVB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"7 field photo interp doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2024F","description":"7 field photo interp doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove carotid body lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60600","description":"Remove carotid body lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8978","description":"Mobility current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Na ferric gluconate complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2916","description":"Na ferric gluconate complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8480","description":"Pros sock single ply ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii phenotype qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86831","description":"Hla class ii phenotype qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28X","description":"HIPPS-PE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1012T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1012T","description":"CPT-1012T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no comp or mort w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9269","description":"Doc no comp or mort w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61541","description":"Incision of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no elg phar ther osteo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8634","description":"Pt no elg phar ther osteo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0105","description":"HCPCS-B0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot plas heel stabi pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3170","description":"Foot plas heel stabi pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12007","description":"Rpr s/n/ax/gen/trnk >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1447","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1447","description":"HCPCS-M1447","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 1 sting insect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95130","description":"Immntx 1 sting insect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone length studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77073","description":"X-rays bone length studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth facial bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19251","description":"Anesth facial bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mifepristone_ oral_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0190","description":"Mifepristone_ oral_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC26","description":"HIPPS-RUC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK5","description":"HIPPS-2BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8X","description":"HIPPS-RHL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up surgery of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66250","description":"Follow-up surgery of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN5","description":"HIPPS-3AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4396","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4396","description":"HCPCS-Q4396","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74170","description":"Ct abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair_ ped size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1037","description":"Transport chair_ ped size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex type 1 test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86695","description":"Herpes simplex type 1 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0061","description":"Anesthesiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis access study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90940","description":"Hemodialysis access study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 2 veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35682","description":"Composite byp grft 2 veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us b & quant a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76510","description":"Ophth us b & quant a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270_ up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2272","description":"Injection_ morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270_ up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release forearm/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26449","description":"Release forearm/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0079","description":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho bi thighcuffs w sprdr bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1652","description":"Ho bi thighcuffs w sprdr bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4410","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4410","description":"HCPCS-Q4410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21247","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0653U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0653U","description":"CPT-0653U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK4","description":"HIPPS-5AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1491F","description":"Dem severity classified mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduction bar-straight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2310","description":"Abduction bar-straight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss condtin mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5851","description":"Denture tiss condtin mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1032T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1032T","description":"CPT-1032T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPU","description":"HIPPS-3BHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement total (ch50)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86162","description":"Complement total (ch50)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5258","description":"Hearing aid_ digit_ bin_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6066","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate_ nasal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0012","description":"Butorphanol tartrate_ nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0902","description":"HCPCS-C0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with endoluminal imaging of initial coronar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7516","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with endoluminal imaging of initial coronar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1154","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melan follow-up complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015F","description":"Melan follow-up complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove limb nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64782","description":"Remove limb nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97001","description":"Pt evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ pheresis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9034","description":"Platelets_ pheresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33690","description":"Reinforce pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29823","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High activity knee frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5930","description":"High activity knee frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received chemotherapy in the last 14 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9847","description":"Patient received chemotherapy in the last 14 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct guide for tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77013","description":"Ct guide for tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23065","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8X","description":"HIPPS-RUC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX35","description":"HIPPS-RLX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood thaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86931","description":"Frozen blood thaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines 13 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80347","description":"Benzodiazepines 13 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31000","description":"Irrigation maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for home delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8415","description":"Supplies for home delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64600","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho d immune globulin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2790","description":"Rho d immune globulin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMW","description":"HIPPS-2AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17106","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls initiation venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33946","description":"Ecmo/ecls initiation venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levofloxacin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1956","description":"Levofloxacin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt w out cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9241","description":"Doc pt w out cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84702","description":"Chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ hematolymphoid neoplasm or disorder_ 5-50 genes (eg_ BRAF_ CEBPA_ DNMT3A_ EZH2_ FLT3_ IDH1_ IDH2_ JAK2_ KIT_ KRAS_ MLL_ NOTCH1_ NPM1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81451","description":"Targeted genomic sequence analysis panel_ hematolymphoid neoplasm or disorder_ 5-50 genes (eg_ BRAF_ CEBPA_ DNMT3A_ EZH2_ FLT3_ IDH1_ IDH2_ JAK2_ KIT_ KRAS_ MLL_ NOTCH1_ NPM1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable compressor filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7013","description":"Disposable compressor filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1558","description":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct b9 lesion 1-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17110","description":"Destruct b9 lesion 1-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis w/huhner","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89300","description":"Semen analysis w/huhner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC17","description":"HIPPS-RHC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9735","description":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299U","description":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ first 30 minutes in a month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2214","description":"Initial or subsequent psychiatric collaborative care management_ first 30 minutes in a month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acesso_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4311","description":"Acesso_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No elig ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8857","description":"No elig ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic pelvic join","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5696","description":"Ak/knee disartic pelvic join","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500T","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse gen sys tx endolymp fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2120","description":"Pulse gen sys tx endolymp fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No brst cncr dx min invasive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8877","description":"No brst cncr dx min invasive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50541","description":"Laparo ablate renal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13C","description":"HIPPS-LB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27519","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling_ ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1310","description":"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling_ ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pouch w faucet/tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4428","description":"Urine ost pouch w faucet/tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB112","description":"HIPPS-PB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch and cane holder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2207","description":"Crutch and cane holder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1A","description":"HIPPS-RVX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14A","description":"HIPPS-PD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27429","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC246","description":"HIPPS-HC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing serologic abo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86900","description":"Blood typing serologic abo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18I","description":"HIPPS-HB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47570","description":"Laparo cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube stainless","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7522","description":"Trach/laryn tube stainless","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescribed anticoagulant medication during the performance period_ history of GI bleeding_ history of intracranial bleeding_ bl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1056","description":"Prescribed anticoagulant medication during the performance period_ history of GI bleeding_ history of intracranial bleeding_ bl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0935T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0935T","description":"CPT-0935T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenalin epinephrine inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0171","description":"Adrenalin epinephrine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace blood leak detector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1560","description":"Replace blood leak detector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl bat t.e.n.s. own by pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4630","description":"Repl bat t.e.n.s. own by pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finasteride_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0138","description":"Finasteride_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resolve Matrix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2024","description":"Resolve Matrix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93788","description":"Ambulatory bp analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us transrectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76872","description":"Us transrectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit chelation diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9355","description":"Hit chelation diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPU","description":"HIPPS-3AGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4D","description":"HIPPS-RVX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0101","description":"CDT-D0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7037","description":"Pos airway pressure tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB44","description":"HIPPS-RVB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0715T","description":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt cath w/ventriclgrphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93453","description":"R&l hrt cath w/ventriclgrphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80438","description":"Trh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKS","description":"HIPPS-4BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25B","description":"HIPPS-PE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56151","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald transmitter microphone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5290","description":"Ald transmitter microphone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9985","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/chemicl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86970","description":"Rbc pretx incubatj w/chemicl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27780","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88235","description":"Tissue culture placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs 4/> paramtrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95782","description":"Polysom <6 yrs 4/> paramtrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx duod intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43756","description":"Dx duod intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1370","description":"HCPCS-J1370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43510","description":"Surgical opening of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin/1000u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0725","description":"Chorionic gonadotropin/1000u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67208","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0024U","description":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73701","description":"Ct lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22B","description":"HIPPS-HD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met uptake","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78020","description":"Thyroid met uptake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA154","description":"HIPPS-CA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finger tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26498","description":"Finger tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0620T","description":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290U","description":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt biliary drainage cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47533","description":"Plmt biliary drainage cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect blood from picc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36592","description":"Collect blood from picc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB224","description":"HIPPS-BB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart planar single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78472","description":"Gated heart planar single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87564","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87564","description":"CPT-87564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosphenytoin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0078","description":"Injection_ fosphenytoin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal over 12.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2214","description":"Lens sphcyl bifocal over 12.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hymenotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56442","description":"Hymenotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPU","description":"HIPPS-3CFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC14","description":"HIPPS-RMC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair testis injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54670","description":"Repair testis injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0521U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0521U","description":"CPT-0521U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24D","description":"HIPPS-CE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docetaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9171","description":"Docetaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; parenchyma (eg_ organ)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76981","description":"Ultrasound_ elastography; parenchyma (eg_ organ)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67916","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neuro non-recharg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1767","description":"Generator_ neuro non-recharg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5%dextrose/0.45%saline1000ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5013","description":"5%dextrose/0.45%saline1000ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of midfoot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28800","description":"Amputation of midfoot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3702","description":"Eo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43810","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99335","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate swallowing function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92610","description":"Evaluate swallowing function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51580","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tmp manipulation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7820","description":"Closed tmp manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair semi-recl detach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1110","description":"Wheelchair semi-recl detach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98016","description":"CPT-98016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Second level cer diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22858","description":"Second level cer diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vinorelbine tartrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9390","description":"Vinorelbine tartrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC225","description":"HIPPS-LC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62281","description":"Treat spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3C","description":"HIPPS-RUX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology Cardiac Specialist Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4002","description":"Electrophysiology Cardiac Specialist Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C/o for orthotic/prosth use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97762","description":"C/o for orthotic/prosth use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28B","description":"HIPPS-LB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingival irrigation per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4921","description":"Gingival irrigation per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18G","description":"HIPPS-CC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86789","description":"West nile virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear matrix protein 22","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86386","description":"Nuclear matrix protein 22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep < 2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21013","description":"Exc face tum deep < 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27703","description":"Reconstruction ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart pacing mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93631","description":"Heart pacing mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87478","description":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1902","description":"HCPCS-B1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP5","description":"HIPPS-3AGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6455","description":"Self-adher band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add mech leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1009","description":"Add mech leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0774T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement facemask interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7031","description":"Replacement facemask interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ibd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8758","description":"Ibd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB160","description":"HIPPS-CB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply/ext inf pump syr type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0552","description":"Supply/ext inf pump syr type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5264","description":"Ear mold/insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ret dev_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1773","description":"Ret dev_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27030","description":"Drainage of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open reduc compd alveolus fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7770","description":"Open reduc compd alveolus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess inc xray docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3340F","description":"Mammo assess inc xray docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy hand joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26100","description":"Biopsy hand joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair wrist joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25447","description":"Repair wrist joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In hospice or using hospice services during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1167","description":"In hospice or using hospice services during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28F","description":"HIPPS-LE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asp not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9436","description":"Asp not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5991","description":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36569","description":"Insert picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Hot EntrƩe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1759","description":"Home Delivered Meals-Hot EntrƩe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1735","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1735","description":"HCPCS-C1735","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3503","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58974","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0677T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE106","description":"HIPPS-PE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide villus sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76945","description":"Echo guide villus sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of spinal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64772","description":"Incision of spinal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30520","description":"Repair of nasal septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11646","description":"Exc f/e/e/n/l mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC213","description":"HIPPS-CC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9484","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intestine transplant live","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44136","description":"Intestine transplant live","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0568","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0568","description":"HCPCS-G0568","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL6","description":"HIPPS-4AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0506","description":"Non-traumatic spinal cord injury with Motor <23.75._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96202","description":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28A","description":"HIPPS-HD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 7.12-20","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2302","description":"Lens sphere trifocal 7.12-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1250","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM2","description":"HIPPS-3BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indiv pdc > 0.8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9512","description":"Indiv pdc > 0.8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52354","description":"Cystouretero w/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES214","description":"HIPPS-ES214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4347","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4347","description":"HCPCS-Q4347","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive vaginal ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7303","description":"Contraceptive vaginal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T cell absolute count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86361","description":"T cell absolute count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6516","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6516","description":"HCPCS-A6516","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD244","description":"HIPPS-PD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX26","description":"HIPPS-RLX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/hemodynam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75889","description":"Vein x-ray liver w/hemodynam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auricular electrostimulation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8930","description":"Auricular electrostimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1822","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1822","description":"HCPCS-E1822","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15C","description":"HIPPS-CB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxillary part denture flex","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5225","description":"Maxillary part denture flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial treatment of burn(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16000","description":"Initial treatment of burn(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKS","description":"HIPPS-5BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95926","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt/harness extremity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0945","description":"Belt/harness extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inclisiran_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1306","description":"Injection_ inclisiran_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag rigid frame cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0632","description":"Lso sag rigid frame cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27846","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No follow up pulm nod norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9347","description":"No follow up pulm nod norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC Breast Cancer Stage I: T1mic_ T1a or T1b (tumor size <= 1 cm) documented (ONC)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3372F","description":"AJCC Breast Cancer Stage I: T1mic_ T1a or T1b (tumor size <= 1 cm) documented (ONC)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ins device for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49327","description":"Lap ins device for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Mechanical Prosthetic Heart Valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0043","description":"Patients With Mechanical Prosthetic Heart Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB235","description":"HIPPS-BB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30200","description":"Injection treatment of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87471","description":"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy cleaning brush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4626","description":"Tracheostomy cleaning brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart vessel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33501","description":"Repair heart vessel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM1","description":"HIPPS-4AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36217","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmt harv/transpl 28d pkg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2150","description":"Bmt harv/transpl 28d pkg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc rsn do qual life assm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9635","description":"No doc rsn do qual life assm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP5","description":"HIPPS-3AHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnioamp-mp_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4250","description":"Amnioamp-mp_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel pad removable for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3485","description":"Shoe heel pad removable for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wearable artificial kidney","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1632","description":"Wearable artificial kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0654T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans elec jt stim dev sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0762","description":"Trans elec jt stim dev sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8010","description":"Mastectomy sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE246","description":"HIPPS-LE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28E","description":"HIPPS-HE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0302","description":"HCPCS-B0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal scalp blood sample","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59030","description":"Fetal scalp blood sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlorothiazide sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1205","description":"Chlorothiazide sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; complex (eg_ leaflet extension_ leaflet resection_ leaflet reconstruction_ or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33391","description":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; complex (eg_ leaflet extension_ leaflet resection_ leaflet reconstruction_ or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pro flex/ext cont","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5859","description":"Knee-shin pro flex/ext cont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise palsy hand tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25316","description":"Revise palsy hand tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect distal humerus tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24150","description":"Resect distal humerus tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj theophylline per 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2810","description":"Inj theophylline per 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine oral 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7502","description":"Cyclosporine oral 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fremanezumab-vfrm_ 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician_ not for use when drug is self-administere","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3031","description":"Injection_ fremanezumab-vfrm_ 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician_ not for use when drug is self-administere","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01140","description":"CPT-01140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18G","description":"HIPPS-CB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise two eye muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67312","description":"Revise two eye muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01969","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01969","description":"CPT-01969","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM4","description":"HIPPS-3BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0614","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0614","description":"HCPCS-J0614","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5913","description":"Nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcd emboli detect w/o inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93892","description":"Tcd emboli detect w/o inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28E","description":"HIPPS-PA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of calcium deposits","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23000","description":"Removal of calcium deposits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56606","description":"Biopsy of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In vivo lab service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88749","description":"In vivo lab service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2106","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accession of brush biopsy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0486","description":"Accession of brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK5","description":"HIPPS-3AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24B","description":"HIPPS-BB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phlebotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99195","description":"Phlebotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral function therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92526","description":"Oral function therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lowr extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5999","description":"Lowr extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0610U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0610U","description":"CPT-0610U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1041","description":"Medicaid certified community behavioral health clinic services_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC226","description":"HIPPS-CC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m tetrofosmin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9502","description":"Tc99m tetrofosmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26530","description":"Revise knuckle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11047","description":"Deb bone add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ & train 1 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98960","description":"Self-mgmt educ & train 1 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbit/face/neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70542","description":"MRI orbit/face/neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ endo dual coil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1895","description":"Lead_ aicd_ endo dual coil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01232","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01232","description":"CPT-01232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not screening for TB or interpreting results (i.e._ patient positive for TB and documentati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1004","description":"Documentation of medical reason for not screening for TB or interpreting results (i.e._ patient positive for TB and documentati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74246","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27228","description":"Treat hip fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cymetra injectable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4112","description":"Cymetra injectable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61870","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18D","description":"HIPPS-PE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vessel mapping hemo access","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0365","description":"Vessel mapping hemo access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95071","description":"Bronchial allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13D","description":"HIPPS-ES13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair pul venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33726","description":"Repair pul venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney/ureter surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86251","description":"Anesth kidney/ureter surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iadna-dna/rna probe tq 12-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87507","description":"Iadna-dna/rna probe tq 12-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3D Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography_ Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies_ For The Ass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93319","description":"3D Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography_ Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies_ For The Ass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37259","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37259","description":"CPT-37259","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iop down >15% of pre-svc lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3284F","description":"Iop down >15% of pre-svc lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28X","description":"HIPPS-PA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28E","description":"HIPPS-CB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15934","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28261","description":"Revision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-pkrb_ biosimilar_ (herzuma)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5113","description":"Injection_ trastuzumab-pkrb_ biosimilar_ (herzuma)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of tear duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68530","description":"Clearance of tear duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47553","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo examination procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76999","description":"Echo examination procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fix partial denture section","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9120","description":"Fix partial denture section","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53866","description":"CPT-53866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef complet w/intact nutrient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4150","description":"Ef complet w/intact nutrient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr convex <=4 sq i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4409","description":"Ost skn barr convex <=4 sq i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5D","description":"HIPPS-RHL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal m1 w/mets prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9094","description":"Onc dx rectal m1 w/mets prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD124","description":"HIPPS-HD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rails bed side full length","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0310","description":"Rails bed side full length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9608","description":"Intraop cyst eval not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA51","description":"HIPPS-RVA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace g-j tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49452","description":"Replace g-j tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26428","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteot hum xtrnl lngth dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0594T","description":"Osteot hum xtrnl lngth dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing assessment/evaluatn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1001","description":"Nursing assessment/evaluatn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE256","description":"HIPPS-PE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333U","description":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retrograde filling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3430","description":"Retrograde filling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0161U","description":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs addl stage t/a/l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17314","description":"Mohs addl stage t/a/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKU","description":"HIPPS-5BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9746","description":"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM6","description":"HIPPS-4AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88000","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain assessment documented as positive_ follow-up plan not documented_ documentation the patient is not eligible at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8939","description":"Pain assessment documented as positive_ follow-up plan not documented_ documentation the patient is not eligible at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7983","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYTOG CONST ALYS INTERROG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209U","description":"CYTOG CONST ALYS INTERROG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy with uv-a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96912","description":"Photochemotherapy with uv-a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01392","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01392","description":"CPT-01392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy w/neo-rectum pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44158","description":"Colectomy w/neo-rectum pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft peri per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3428","description":"Bone graft peri per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0D","description":"HIPPS-RHX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1214","description":"Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8F","description":"HIPPS-RUC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter therapy_ infusion other than for thrombolysis_ any type (eg_ spasmolytic_ vasoconstrictive)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37202","description":"Transcatheter therapy_ infusion other than for thrombolysis_ any type (eg_ spasmolytic_ vasoconstrictive)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX16","description":"HIPPS-RVX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Camp day waiver/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2037","description":"Camp day waiver/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0532T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anemia plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516F","description":"Anemia plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Western blot test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84181","description":"Western blot test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE112","description":"HIPPS-LE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite care service 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1005","description":"Respite care service 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0503U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0503U","description":"CPT-0503U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96133","description":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1602","description":"HCPCS-C1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complement antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86160","description":"Complement antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable retainer adjust","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8681","description":"Removable retainer adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0502","description":"HCPCS-B0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe dennis browne splint bo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3640","description":"Shoe dennis browne splint bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9962","description":"Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of procainamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80192","description":"Assay of procainamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quan mycophenolate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80180","description":"Drug scrn quan mycophenolate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem_ vaborbactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2186","description":"Injection_ meropenem_ vaborbactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21432","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35142","description":"Repair artery rupture thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rsk fac or 1 mod risk te","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8970","description":"No rsk fac or 1 mod risk te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLS","description":"HIPPS-3AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metl 3/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2530","description":"Dental inlay metl 3/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sciatic nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64786","description":"Remove sciatic nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA210","description":"HIPPS-CA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK2","description":"HIPPS-1BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN1","description":"HIPPS-3CGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1473","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1473","description":"HCPCS-M1473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5259","description":"Hearing aid_ digit_ bin_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioTX_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4324","description":"AmnioTX_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counseling_ group_ by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9003","description":"Counseling_ group_ by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1A","description":"HIPPS-RUB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hot/cold h2obot/cap/col/wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9273","description":"Hot/cold h2obot/cap/col/wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ padded foam_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6605","description":"Gradient compression bandaging supply_ padded foam_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA212","description":"HIPPS-CA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC06","description":"HIPPS-RHC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64581","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92652","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1378","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1378","description":"HCPCS-M1378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25B","description":"HIPPS-BA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54115","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay total hydroxyproline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83505","description":"Assay total hydroxyproline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sign lang/oral interpreter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1013","description":"Sign lang/oral interpreter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2621","description":"Wc planar back cush wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tap block uni by infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64487","description":"Tap block uni by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKT","description":"HIPPS-2AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vert bitewings-sev to eight","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0277","description":"Vert bitewings-sev to eight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23146","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No recd cortico>=10mg/d >60d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9468","description":"No recd cortico>=10mg/d >60d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ item that has been trimmed_ bent_ molded_ assembled_ or otherwise customized to fit a specific p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3760","description":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ item that has been trimmed_ bent_ molded_ assembled_ or otherwise customized to fit a specific p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC230","description":"HIPPS-PC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1189","description":"Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0491T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1024T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1024T","description":"CPT-1024T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15D","description":"HIPPS-ES15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ unilateral; complete_ minimum of two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73510","description":"Radiologic examination_ hip_ unilateral; complete_ minimum of two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic single inj site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64461","description":"Pvb thoracic single inj site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT AGT HIV GNRJ SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219U","description":"NFCT AGT HIV GNRJ SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aoe comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9466","description":"Aoe comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc back les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21931","description":"Exc back les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump portab hom modl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0600","description":"Suction pump portab hom modl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj anesthetic per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4737","description":"Inj anesthetic per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig; scrn clin dep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8433","description":"Pt inelig; scrn clin dep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition additiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4216","description":"Parenteral nutrition additiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj brachial plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64415","description":"N block inj brachial plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3915","description":"Who nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BMI is documented as being outside of normal limits_ follow-up plan is not completed for documented reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9716","description":"BMI is documented as being outside of normal limits_ follow-up plan is not completed for documented reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54250","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 13/> studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95913","description":"Nrv cndj test 13/> studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11982","description":"Remove drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert bladder cath complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51703","description":"Insert bladder cath complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4B","description":"HIPPS-RMB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 40 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7100","description":"Dextran 40 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg > 48 sq in w/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6247","description":"Hydrogel drg > 48 sq in w/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC146","description":"HIPPS-PC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0706T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL22","description":"HIPPS-RVL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment_ (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2080","description":"Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment_ (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53620","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25810","description":"Fusion/graft of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2A","description":"HIPPS-RHX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18F","description":"HIPPS-PA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES230","description":"HIPPS-ES230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tot contact ak/knee disart s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5650","description":"Tot contact ak/knee disart s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24D","description":"HIPPS-LC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE240","description":"HIPPS-PE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharm ther osteo rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8633","description":"Pharm ther osteo rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18B","description":"HIPPS-PB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0066U","description":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15017","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15017","description":"CPT-15017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0598T","description":"Ncntc r-t fluor wnd img 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54120","description":"Partial removal of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0498T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail bed/tip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11752","description":"Remove nail bed/tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o&w/dye_ upper extr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8936","description":"Mra_ w/o&w/dye_ upper extr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognitive test by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96125","description":"Cognitive test by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct brst/node spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351T","description":"Intraop oct brst/node spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy w/bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45305","description":"Proctosigmoidoscopy w/bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc sup/acc ext vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0507","description":"Misc sup/acc ext vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malig tumor exc to 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7440","description":"Malig tumor exc to 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Round caliper and plate atta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2240","description":"Round caliper and plate atta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject congenital card cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93563","description":"Inject congenital card cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26205","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procd strg endur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0237","description":"Therapeutic procd strg endur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere bifocal 4.12-7.0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2201","description":"Lens sphere bifocal 4.12-7.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology work-up evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9050","description":"Oncology work-up evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4206","description":"1 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0A","description":"HIPPS-RUL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tob non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9459","description":"Tob non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD105","description":"HIPPS-LD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3B","description":"HIPPS-RHB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24B","description":"HIPPS-LD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11B","description":"HIPPS-PE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bso omentectomy w/tah","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58956","description":"Bso omentectomy w/tah","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33750","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25126","description":"Remove/graft forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022U","description":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood methemoglobin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83050","description":"Blood methemoglobin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21123","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epiandrosterone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6049","description":"Epiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB134","description":"HIPPS-LB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14B","description":"HIPPS-LC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKU","description":"HIPPS-5AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu immunize no admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8484","description":"Flu immunize no admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24B","description":"HIPPS-PC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53230","description":"Removal of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47350","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fetal fibronectin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82731","description":"Assay of fetal fibronectin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX02","description":"HIPPS-RHX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrog device eval heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93289","description":"Interrog device eval heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD112","description":"HIPPS-CD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93313","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant Care Services_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1793","description":"Attendant Care Services_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt-venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33948","description":"Ecmo/ecls daily mgmt-venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK1","description":"HIPPS-2BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tk tams hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9503","description":"Pt tk tams hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder abduction joint pai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6640","description":"Shoulder abduction joint pai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrine hydrochloride_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0014","description":"Tacrine hydrochloride_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51500","description":"Removal of bladder cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srn clin dep doc no f/u pln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8940","description":"Srn clin dep doc no f/u pln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083A","description":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66500","description":"Incision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1501","description":"HCPCS-B1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLT","description":"HIPPS-4AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reguard_ for topical use only_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4255","description":"Reguard_ for topical use only_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ sock above elb/dis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6688","description":"Frame typ sock above elb/dis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q2057","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2057","description":"HCPCS-Q2057","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL3","description":"HIPPS-4CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Integrated keratoprosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1818","description":"Integrated keratoprosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81336","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0975T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0975T","description":"CPT-0975T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental retainr cast metl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6545","description":"Dental retainr cast metl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear fluorescent/acid stai","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87206","description":"Smear fluorescent/acid stai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside of the mastoid and resulting in removal of greater","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69729","description":"Implantation_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside of the mastoid and resulting in removal of greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6534","description":"Gc stocking thighlngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD215","description":"HIPPS-LD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing_ sterile_ pad size more than 16 sq in but less than or equal to 48 sq in_ without adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6461","description":"Synthetic resorbable wound dressing_ sterile_ pad size more than 16 sq in but less than or equal to 48 sq in_ without adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20520","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Keroxx (2.5 g/cc)_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4202","description":"Keroxx (2.5 g/cc)_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0021","description":"Alcohol and/or drug training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87531","description":"Hhv-6 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63267","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4342","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4342","description":"HCPCS-Q4342","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0496U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0496U","description":"CPT-0496U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Affinity1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4159","description":"Affinity1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tablo Hemodialysis System For The Billable Dialysis Service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1629","description":"Tablo Hemodialysis System For The Billable Dialysis Service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal allograft pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48556","description":"Removal allograft pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB50","description":"HIPPS-RLB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35537","description":"Art byp grft aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of peritoneum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74190","description":"X-ray exam of peritoneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Listeria monocytogenes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86723","description":"Listeria monocytogenes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM3","description":"HIPPS-4CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belinostat_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9032","description":"Injection_ belinostat_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artacent AC_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4190","description":"Artacent AC_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX31","description":"HIPPS-RHX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28070","description":"Removal of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33533","description":"Cabg arterial single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81249","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2B","description":"HIPPS-RMC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51530","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kne sing axis fric shin sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5200","description":"Kne sing axis fric shin sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15A","description":"HIPPS-PE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24D","description":"HIPPS-ES24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC50","description":"HIPPS-RHC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23066","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peridontal medicament","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5994","description":"Peridontal medicament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES325","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES325","description":"HIPPS-ES325","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27110","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orth newington","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1710","description":"Legg perthes orth newington","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69421","description":"Incision of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advancing rheumatology patient care mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0053","description":"Advancing rheumatology patient care mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0635U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0635U","description":"CPT-0635U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0526U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0526U","description":"CPT-0526U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01936","description":"CPT-01936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4C","description":"HIPPS-AAA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1170","description":"Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1341","description":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical laminoplsty 2/> seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63050","description":"Cervical laminoplsty 2/> seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD151","description":"HIPPS-CD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech remov tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36595","description":"Mech remov tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21C","description":"HIPPS-PB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4562F","description":"Pt w/o coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial thermo mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5580","description":"Prep ak ischial thermo mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69604","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP5","description":"HIPPS-3BHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN3","description":"HIPPS-1AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1C","description":"HIPPS-RLB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7627","description":"Budesonide comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc dx unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9067","description":"Onc dx nsclc dx unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco non-user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1036F","description":"Tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91314","description":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC55","description":"HIPPS-RUC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded as completely true for the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1250","description":"Patient responded as completely true for the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27245","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD217","description":"HIPPS-PD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport port x-ray multipl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0075","description":"Transport port x-ray multipl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59136","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73219","description":"MRI upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7634","description":"Budesonide comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev care mg qual act perfrm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8496","description":"Prev care mg qual act perfrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quant oxcarbazepin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80183","description":"Drug scrn quant oxcarbazepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision/fixation of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27165","description":"Incision/fixation of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1B","description":"HIPPS-RLB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam breastbone 2/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71120","description":"X-ray exam breastbone 2/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22A","description":"HIPPS-LC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng ace/arb blker <3mos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4481F","description":"Pt rcvng ace/arb blker <3mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil sup empl waiver 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2019","description":"Habil sup empl waiver 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61791","description":"Treat trigeminal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No early ind/delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9355","description":"No early ind/delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01400","description":"CPT-01400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other immunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86325","description":"Other immunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for bladder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51600","description":"Injection for bladder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0032","description":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/2.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2204","description":"Lens sphcy bifocal 4.00d/2.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; Without Continuous Oximetry Monitoring (Per Session)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94625","description":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; Without Continuous Oximetry Monitoring (Per Session)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA10","description":"HIPPS-RLA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB220","description":"HIPPS-HB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL6","description":"HIPPS-1AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lung chest wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54651","description":"Anesth lung chest wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w/ supinat/pronator c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3202","description":"Oxford w/ supinat/pronator c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium nitrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1457","description":"Gallium nitrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hernia repair recur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49656","description":"Lap inc hernia repair recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous mech thrombectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37187","description":"Venous mech thrombectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7550","description":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33363","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00836","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00836","description":"CPT-00836","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX40","description":"HIPPS-RMX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59320","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93930","description":"Upper extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth insert penis device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93851","description":"Anesth insert penis device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 4 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34844","description":"Endovasc visc aorta 4 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90635","description":"CPT-90635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28E","description":"HIPPS-CA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice home care in hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5010","description":"Hospice home care in hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15C","description":"HIPPS-BB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 quant&revrse trnscripj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87539","description":"Hiv-2 quant&revrse trnscripj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2351","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2351","description":"HCPCS-J2351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis test procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81099","description":"Urinalysis test procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftrst upper hanger bracket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0044","description":"Ftrst upper hanger bracket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81274","description":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg <4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64892","description":"Nerve graft arm/leg <4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splicing of ureters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50770","description":"Splicing of ureters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24A","description":"HIPPS-HE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 med visit in 24mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9247","description":"1 med visit in 24mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23020","description":"Release shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD250","description":"HIPPS-LD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee control condylar pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2810","description":"Knee control condylar pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27495","description":"Reinforce thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trichomonas vaginalis amplif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87661","description":"Trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0461","description":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1434","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1434","description":"HCPCS-M1434","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen site not esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8797","description":"Specimen site not esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE104","description":"HIPPS-PE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ single analyte_ quantitative_ single st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82543","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ single analyte_ quantitative_ single st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80350","description":"Cannabinoids synthetic 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-84394","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84394","description":"CPT-84394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice/home hlth_ place nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5009","description":"Hospice/home hlth_ place nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0990T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0990T","description":"CPT-0990T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram both breasts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77056","description":"Mammogram both breasts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8452","description":"Splint elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98013","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98013","description":"CPT-98013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboemb risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1180F","description":"Thromboemb risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration; with imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10022","description":"Fine needle aspiration; with imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Precision attachment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6950","description":"Precision attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35246","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82131","description":"Amino acids single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC40","description":"HIPPS-RMC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK4","description":"HIPPS-5AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC126","description":"HIPPS-HC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1497","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1497","description":"HCPCS-M1497","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch liq deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4394","description":"Ostomy pouch liq deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay blood carbon dioxide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82374","description":"Assay blood carbon dioxide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0554","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0554","description":"HCPCS-G0554","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1087","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87186","description":"Microbe susceptible mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0710T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in snf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5004","description":"Hospice in snf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of natriuretic peptide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83880","description":"Assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC52","description":"HIPPS-RVC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laiv3 vaccine intranasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90660","description":"Laiv3 vaccine intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attachmnts ce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0948","description":"Fracture frame attachmnts ce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22C","description":"HIPPS-LE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref pulm fx test/peakflow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3758F","description":"Pt ref pulm fx test/peakflow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6525","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLT","description":"HIPPS-1CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toc tool incl elem not used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9658","description":"Toc tool incl elem not used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mgmt gene methylation anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81287","description":"Mgmt gene methylation anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1136","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy resect septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58560","description":"Hysteroscopy resect septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hernia & sperm veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55540","description":"Revise hernia & sperm veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Satisfy survey not complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0917","description":"Satisfy survey not complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carboxydextran-coated superparamagnetic iron oxide_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9697","description":"Injection_ carboxydextran-coated superparamagnetic iron oxide_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune admin oral/nasal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90474","description":"Immune admin oral/nasal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch home day #2 evar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8826","description":"Pt disch home day #2 evar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0988T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0988T","description":"CPT-0988T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3346","description":"Retreat root canal anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37282","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37282","description":"CPT-37282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation palate mold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42280","description":"Preparation palate mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o dye_ upper extr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8935","description":"Mra_ w/o dye_ upper extr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye service or procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92499","description":"Eye service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded plastazote cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3253","description":"Shoe molded plastazote cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt bilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201T","description":"Perq sacral augmt bilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alert device_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9280","description":"Alert device_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM4","description":"HIPPS-3AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40831","description":"Repair mouth laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33234","description":"Removal of pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice evaluation preelecti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0337","description":"Hospice evaluation preelecti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53415","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46746","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1282","description":"Patient screened for tobacco use and identified as a tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tafasitamab-cxix_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9349","description":"Injection_ tafasitamab-cxix_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC217","description":"HIPPS-CC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand_ finger_ single or double upright(s)_ includes microp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8702","description":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand_ finger_ single or double upright(s)_ includes microp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m labeled rbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9560","description":"Tc99m labeled rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01935","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01935","description":"CPT-01935","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28A","description":"HIPPS-PC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4D","description":"HIPPS-RMC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63704","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0D","description":"HIPPS-RLB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4A","description":"HIPPS-RVB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair detachable a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1086","description":"Hemi-wheelchair detachable a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetic study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88299","description":"Cytogenetic study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ethinyl estradiol and etonogestrel 0.015 mg_ 0.12 mg per 24hours; monthly vaginal ring_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7295","description":"Ethinyl estradiol and etonogestrel 0.015 mg_ 0.12 mg per 24hours; monthly vaginal ring_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infrared therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97026","description":"Infrared therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81417","description":"Exome re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33510","description":"Cabg vein single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 80 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1040","description":"Methylprednisolone 80 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restore/remodel ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33548","description":"Restore/remodel ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0320U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 90-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0518","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 90-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14D","description":"HIPPS-PB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92235","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0038","description":"Leg strap each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31577","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special med equip_ noswaiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2029","description":"Special med equip_ noswaiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8X","description":"HIPPS-RVA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93616","description":"Esophageal recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14C","description":"HIPPS-LC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Newborn metabolic screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3620","description":"Newborn metabolic screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj octafluoropropane mic_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9956","description":"Inj octafluoropropane mic_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00192","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00192","description":"CPT-00192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15A","description":"HIPPS-BB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15018","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15018","description":"CPT-15018","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21B","description":"HIPPS-HB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1126","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC25","description":"HIPPS-RMC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD256","description":"HIPPS-CD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1435","description":"Injection estrone per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group audiometric testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92559","description":"Group audiometric testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8A","description":"HIPPS-RML8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81541","description":"Oncology (prostate)_ mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamellas_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4292","description":"Lamellas_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9187","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9187","description":"HCPCS-J9187","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj lo_ initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9004","description":"Mccd_ risk adj lo_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascent_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4213","description":"Ascent_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26561","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual acuity screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99173","description":"Visual acuity screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl tip cane/crutch/walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4637","description":"Repl tip cane/crutch/walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by groin incision_ unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by groin incision_ unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remis 6m w/o 6mos phq-9 <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9574","description":"Remis 6m w/o 6mos phq-9 <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0712T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intranasal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30117","description":"Removal of intranasal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15A","description":"HIPPS-HD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic membrane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2790","description":"Amniotic membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrotestosterone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6047","description":"Dihydrotestosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15829","description":"Removal of skin wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ck (cpk)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82550","description":"Assay of ck (cpk)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of quinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84228","description":"Assay of quinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-86581","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86581","description":"CPT-86581","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehab rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4033F","description":"Pulmonary rehab rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo without joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3924","description":"Hfo without joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post >=4srfc resinbase cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2394","description":"Post >=4srfc resinbase cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9160","description":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3760F","description":"Pt w/dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2003","description":"HCPCS-A2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary angiography of major aortopulmonary colla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93575","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary angiography of major aortopulmonary colla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20A","description":"HIPPS-BB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lev 1 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0380","description":"Lev 1 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delayed breast prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19342","description":"Delayed breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergent Cases","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1142","description":"Emergent Cases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of spinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63172","description":"Drainage of spinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE210","description":"HIPPS-PE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paramedicintercep nonhospals","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0207","description":"Paramedicintercep nonhospals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNS","description":"HIPPS-1CFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34051","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise bladder/drain ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51045","description":"Incise bladder/drain ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyme disease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86617","description":"Lyme disease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0828T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8932","description":"Mra_ w/o dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1448","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1448","description":"HCPCS-M1448","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reagent strip/blood glucose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82948","description":"Reagent strip/blood glucose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN6","description":"HIPPS-3AGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38221","description":"Diagnostic bone marrow; biopsy(ies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ toe caps_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6573","description":"Gradient compression garment_ toe caps_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Born 1945-1965","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9448","description":"Born 1945-1965","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivicaine hydro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0020","description":"Injection_ bupivicaine hydro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: high complexity_ requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the pla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97163","description":"Physical therapy evaluation: high complexity_ requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the pla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies (plaster)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4580","description":"Cast supplies (plaster)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0515U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0515U","description":"CPT-0515U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise abdomen-venous shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49426","description":"Revise abdomen-venous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of orbit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21256","description":"Reconstruction of orbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA40","description":"HIPPS-RUA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM2","description":"HIPPS-2BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cathepsin-d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82387","description":"Assay of cathepsin-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Review/report bp recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93790","description":"Review/report bp recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal vestibular lateral wall stenosis with implant(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9749","description":"Repair of nasal vestibular lateral wall stenosis with implant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0669U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0669U","description":"CPT-0669U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; complete acute abdomen series_ including supine_ erect_ and/or decubitus views_ single view chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74022","description":"Radiologic examination_ abdomen; complete acute abdomen series_ including supine_ erect_ and/or decubitus views_ single view chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28A","description":"HIPPS-CB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES254","description":"HIPPS-ES254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE240","description":"HIPPS-LE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35351","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8522","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8522","description":"HCPCS-J8522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA30","description":"HIPPS-AAA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0132U","description":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable rubber pch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4376","description":"Drainable rubber pch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNU","description":"HIPPS-1CFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB254","description":"HIPPS-HB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50693","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48020","description":"Removal of pancreatic stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caffeine citrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0706","description":"Caffeine citrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0544","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0544","description":"HCPCS-G0544","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xray place dist ext thor ao","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75959","description":"Xray place dist ext thor ao","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ptfalls assess-docd ge2>/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1100F","description":"Ptfalls assess-docd ge2>/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9174","description":"Speech lang current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metabolic panel ionized ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80047","description":"Metabolic panel ionized ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74182","description":"MRI abdomen w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4037","description":"Urology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMU","description":"HIPPS-2AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01474","description":"CPT-01474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/control bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45382","description":"Colonoscopy w/control bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA05","description":"HIPPS-AAA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55110","description":"Explore scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64640","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscp harv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2112","description":"Knee arthroscp harv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90675","description":"Rabies vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin k","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84597","description":"Assay of vitamin k","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25275","description":"Repair forearm tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMS","description":"HIPPS-2BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd known fam var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81281","description":"Long qt synd known fam var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comb art/venous blood tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4755","description":"Comb art/venous blood tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mohs addl stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17312","description":"Mohs addl stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ado-trastuzumab emt 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9354","description":"Inj_ ado-trastuzumab emt 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27632","description":"Exc leg/ankle les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81465","description":"Whole mitochondrial genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21B","description":"HIPPS-BA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27335","description":"Remove knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0484U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0484U","description":"CPT-0484U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18X","description":"HIPPS-LE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adalimumab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80145","description":"Adalimumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK2","description":"HIPPS-3CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5949","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5949","description":"CDT-D5949","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee control full kneecap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2795","description":"Knee control full kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile duct revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47701","description":"Bile duct revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC13","description":"HIPPS-RMC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex 2 ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87273","description":"Herpes simplex 2 ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Misc dialysis supplies noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4913","description":"Misc dialysis supplies noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed board","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0273","description":"Bed board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0495U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0495U","description":"CPT-0495U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamellar bdy fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83664","description":"Lamellar bdy fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surveillance colonoscopy - personal history of colonic polyps_ colon cancer_ or other malignant neoplasm of rectum_ rectosigmoid junction_ and anus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9936","description":"Surveillance colonoscopy - personal history of colonic polyps_ colon cancer_ or other malignant neoplasm of rectum_ rectosigmoid junction_ and anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint of lwr extr w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73722","description":"MRI joint of lwr extr w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50070","description":"Incision of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9154","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9154","description":"HCPCS-A9154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL4","description":"HIPPS-2CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK2","description":"HIPPS-4AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair art intramural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33507","description":"Repair art intramural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0519U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0519U","description":"CPT-0519U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98012","description":"CPT-98012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 150 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5565","description":"Insulin cartridge 150 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20D","description":"HIPPS-CA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0480U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0480U","description":"CPT-0480U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy_ single or multiple_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7542","description":"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy_ single or multiple_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14C","description":"HIPPS-PA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)_ endovascular_ including all imaging and radiological supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36909","description":"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)_ endovascular_ including all imaging and radiological supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us limited fetus(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76815","description":"Ob us limited fetus(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLV","description":"HIPPS-1BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulat palm cord post inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26341","description":"Manipulat palm cord post inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0B","description":"HIPPS-RUC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cncr 0/ia melan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3321F","description":"Ajcc cncr 0/ia melan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy balloon <30mm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43220","description":"Esophagoscopy balloon <30mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace chst cmprss sys hose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7026","description":"Replace chst cmprss sys hose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB121","description":"HIPPS-CB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Room and Board Rate - A flat per diem rate before area wage adjustment for patients whose home is a nursing home.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0606","description":"Room and Board Rate - A flat per diem rate before area wage adjustment for patients whose home is a nursing home.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31579","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral embolization/occl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50705","description":"Ureteral embolization/occl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9483","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25530","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33470","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl trifocal 4.00/>6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2306","description":"Lens sphcyl trifocal 4.00/>6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23A","description":"HIPPS-CD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heredtry nurondcrn tum dsrdr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81437","description":"Heredtry nurondcrn tum dsrdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Desoxycorticosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82633","description":"Desoxycorticosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp diuretic tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4190F","description":"Approp diuretic tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ with blue-violet filter_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2526","description":"Contact lens_ hydrophilic_ with blue-violet filter_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0674T","description":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8H","description":"HIPPS-RVL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC230","description":"HIPPS-CC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO MUSC DYS DMD SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218U","description":"NEURO MUSC DYS DMD SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsk fx ref w/n 24 hrs xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5100F","description":"Rsk fx ref w/n 24 hrs xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 4.12-7.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2301","description":"Lens sphere trifocal 4.12-7.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sugars single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84378","description":"Sugars single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of neonatal thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84437","description":"Assay of neonatal thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1B","description":"HIPPS-RVA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-invasive vagus nerve stimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0735","description":"Non-invasive vagus nerve stimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9897","description":"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid duct lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60280","description":"Remove thyroid duct lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with one patie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97153","description":"Adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with one patie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21422","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1357","description":"Battery charger_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Children who were not screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9967","description":"Children who were not screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg_ drug metabolism)_ gene analysis_ common variant(s) (eg_ *2_ *22)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81230","description":"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg_ drug metabolism)_ gene analysis_ common variant(s) (eg_ *2_ *22)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE111","description":"HIPPS-PE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Morcellator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1782","description":"Morcellator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging of the head (CT or MRI) was obtained","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1027","description":"Imaging of the head (CT or MRI) was obtained","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Memory current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9168","description":"Memory current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMT","description":"HIPPS-1AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50780","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth transplantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7272","description":"Tooth transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE244","description":"HIPPS-HE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avelumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9023","description":"Injection_ avelumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM1","description":"HIPPS-1CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2C","description":"HIPPS-RMA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1060","description":"Thoracic pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21137","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc renal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50549","description":"Laparoscope proc renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pegaptanib sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2503","description":"Pegaptanib sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (panzyga)_ intravenous_ non-lyophilized (e.g._ liquid)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1576","description":"Injection_ immune globulin (panzyga)_ intravenous_ non-lyophilized (e.g._ liquid)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Agriflu vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2034","description":"Agriflu vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis nonauto w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81002","description":"Urinalysis nonauto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE230","description":"HIPPS-CE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85301","description":"Antithrombin iii antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD221","description":"HIPPS-CD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy digital artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64820","description":"Sympathectomy digital artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj suprascapular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64418","description":"N block inj suprascapular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromatrix nerve cuff_ cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9355","description":"Neuromatrix nerve cuff_ cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81450","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26433","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2211","description":"Pneumatic propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay nonantibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83516","description":"Immunoassay nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44603","description":"Suture small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision secondary cataract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66820","description":"Incision secondary cataract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1946","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1946","description":"HCPCS-J1946","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Prescribed Or Currently Being T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2092","description":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Prescribed Or Currently Being T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision/drain abscess intra","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7511","description":"Incision/drain abscess intra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anaphylaxis due to the vaccine on or before the date of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1219","description":"Anaphylaxis due to the vaccine on or before the date of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2C","description":"HIPPS-AAA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00926","description":"CPT-00926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brucella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86622","description":"Brucella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional retainer crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6793","description":"Provisional retainer crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK3","description":"HIPPS-4AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPV","description":"HIPPS-3BHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relieve pressure on nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64722","description":"Relieve pressure on nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair oviduct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58750","description":"Repair oviduct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6600","description":"Gradient compression bandaging supply_ high density foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97008","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97008","description":"CPT-97008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMV","description":"HIPPS-4AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42235","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C-1 esterase_ berinert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0597","description":"C-1 esterase_ berinert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6634","description":"Onlay titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Salivary gland function exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78232","description":"Salivary gland function exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17264","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00546","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00546","description":"CPT-00546","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC105","description":"HIPPS-LC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27500","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental film skull/facial bon","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0290","description":"Dental film skull/facial bon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interim labor facility globa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4005","description":"Interim labor facility globa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE236","description":"HIPPS-PE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26415","description":"Excision hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); common variant(s) (eg_ HbS_ HbC_ HbE)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81361","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); common variant(s) (eg_ HbS_ HbC_ HbE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of femur 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73551","description":"X-ray exam of femur 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirikizumab-mrkz_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9168","description":"Injection_ mirikizumab-mrkz_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insemination of oocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89268","description":"Insemination of oocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMS","description":"HIPPS-3BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma scrn hgh risk direc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0117","description":"Glaucoma scrn hgh risk direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0690T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr 34 nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2358","description":"Gr 34 nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51050","description":"Removal of bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC110","description":"HIPPS-LC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10121","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML44","description":"HIPPS-RML44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0740T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic(s)/prosthetic(s) management and/or training_ upper extremity(ies)_ lower extremity(ies)_ and/or trunk_ subsequent orthotic(s)/prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97763","description":"Orthotic(s)/prosthetic(s) management and/or training_ upper extremity(ies)_ lower extremity(ies)_ and/or trunk_ subsequent orthotic(s)/prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67830","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC01","description":"HIPPS-RVC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57720","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy live donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44133","description":"Enterectomy live donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj reshaping components","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7865","description":"Tmj reshaping components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72130","description":"Ct chest spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01380","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01380","description":"CPT-01380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4370","description":"HCPCS-Q4370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8X","description":"HIPPS-RLB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr special size/constrc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1220","description":"Whlchr special size/constrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0736T","description":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE155","description":"HIPPS-PE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No syst antimicrobial thx rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4132F","description":"No syst antimicrobial thx rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration - resorbable barrier_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6106","description":"guided tissue regeneration - resorbable barrier_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us guide vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76937","description":"Us guide vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL3","description":"HIPPS-2BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27372","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42330","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33963","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chiropractic medicine mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0065","description":"Chiropractic medicine mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMS","description":"HIPPS-1BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCG live intravesical instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9030","description":"BCG live intravesical instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithymocyte globuln rabbit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7511","description":"Antithymocyte globuln rabbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6539","description":"Gc stocking waistlngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Receiving esrd mcp dialysis services by the provider on the last day of the reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1269","description":"Receiving esrd mcp dialysis services by the provider on the last day of the reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33237","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tisotumab vedotin-tftv_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9273","description":"Injection_ tisotumab vedotin-tftv_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for chlorohydrocarbons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82441","description":"Test for chlorohydrocarbons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ betibeglogene autotemcel_ per treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3393","description":"Injection_ betibeglogene autotemcel_ per treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine/urea-n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84540","description":"Assay of urine/urea-n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded to pt silicone s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3251","description":"Shoe molded to pt silicone s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2247","description":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance response/treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0998","description":"Ambulance response/treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6039","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6039","description":"HCPCS-L6039","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinusoidal rotational test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92546","description":"Sinusoidal rotational test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag r an/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0631","description":"Lso sag r an/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply rigid leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29445","description":"Apply rigid leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clotting assay whole blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85396","description":"Clotting assay whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Didanosine_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0137","description":"Didanosine_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6110","description":"Implnt/abut remov dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES354","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES354","description":"HIPPS-ES354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0503","description":"HCPCS-C0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2182","description":"Injection_ mepolizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect nasopharynx skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61586","description":"Resect nasopharynx skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC140","description":"HIPPS-CC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc system reas adv imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9537","description":"Doc system reas adv imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0880T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9370","description":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of uvula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42140","description":"Excision of uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pi volunteer ambulance co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0432","description":"Pi volunteer ambulance co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1027","description":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKU","description":"HIPPS-4BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB226","description":"HIPPS-BB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antisperm antibodies test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3655","description":"Antisperm antibodies test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38H","description":"HIPPS-ES38H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ remimazolam_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2249","description":"Injection_ remimazolam_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28G","description":"HIPPS-HB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd lesion ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43270","description":"Egd lesion ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r pos/lat pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0649","description":"Lso sc r pos/lat pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1500","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1500","description":"HCPCS-M1500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0934T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0934T","description":"CPT-0934T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27566","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck t1-t2no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9109","description":"Onc dx head/neck t1-t2no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM5","description":"HIPPS-3BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear medicine therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79999","description":"Nuclear medicine therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37222","description":"Iliac revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51800","description":"Revision of bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13C","description":"HIPPS-BB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lecanemab-irmb_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0174","description":"Injection_ lecanemab-irmb_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve/shorten bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64876","description":"Repair nerve/shorten bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB151","description":"HIPPS-PB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6560","description":"Gradient compression stocking_ full length/chap style_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot_ adductus positioning device_ adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3161","description":"Foot_ adductus positioning device_ adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5255","description":"Hearing aid_ digit_ mon_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic fine wire emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96003","description":"Dynamic fine wire emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLX","description":"HIPPS-1CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ganirelix acetat 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0132","description":"Inj ganirelix acetat 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD136","description":"HIPPS-LD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1012","description":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfrn or othr antcog no rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8971","description":"Warfrn or othr antcog no rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy vent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4366","description":"Ostomy vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98006","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98006","description":"CPT-98006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKS","description":"HIPPS-1AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care transport","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99466","description":"Ped crit care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of percutaneous transhepatic catheter for biliary drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47510","description":"Introduction of percutaneous transhepatic catheter for biliary drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE216","description":"HIPPS-LE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA150","description":"HIPPS-CA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92638","description":"CPT-92638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3268","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"HCPCS-J3268","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tongue and mouth surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41599","description":"Tongue and mouth surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44369","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ suprapubic/cystoscopic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2627","description":"Cath_ suprapubic/cystoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of salivary cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42408","description":"Excision of salivary cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29035","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7560","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB105","description":"HIPPS-PB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ 5-50 genes (eg_ ALK_ BRAF_ CDKN2A_ EGFR_ ERBB2_ KIT_ KRAS_ MET_ NRAS_ PDGFRA_ PDGFRB_ PGR_ PIK3CA_ PTEN_ RET)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81449","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ 5-50 genes (eg_ ALK_ BRAF_ CDKN2A_ EGFR_ ERBB2_ KIT_ KRAS_ MET_ NRAS_ PDGFRA_ PDGFRB_ PGR_ PIK3CA_ PTEN_ RET)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disartic switch contro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6960","description":"Shldr disartic switch contro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore limb vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35860","description":"Explore limb vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4394","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4394","description":"HCPCS-Q4394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft carotid-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35508","description":"Art byp grft carotid-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37291","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37291","description":"CPT-37291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg >16<=48 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6213","description":"Foam drg >16<=48 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK1","description":"HIPPS-2CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic anrysm 6/> cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9004F","description":"Aortic anrysm 6/> cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko elas w/ condyle pads & jo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1820","description":"Ko elas w/ condyle pads & jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial thyroid excision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60212","description":"Partial thyroid excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypothermia ill neonate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99184","description":"Hypothermia ill neonate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61682","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat neck spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22326","description":"Treat neck spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rapid desensitization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95180","description":"Rapid desensitization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of hemorrhoid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46221","description":"Ligation of hemorrhoid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj tst 3-4 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95908","description":"Nrv cndj tst 3-4 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE220","description":"HIPPS-PE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18H","description":"HIPPS-BB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL4","description":"HIPPS-4CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc osmotic fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85555","description":"Rbc osmotic fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj tendon origin/insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20551","description":"Inj tendon origin/insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA23","description":"HIPPS-RUA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemorrhoidopexy by stapling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46947","description":"Hemorrhoidopexy by stapling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87662","description":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c probe&rvrs trnsc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87521","description":"Hepatitis c probe&rvrs trnsc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0593","description":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 3rd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36247","description":"Ins cath abd/l-ext art 3rd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1206","description":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1803","description":"HCPCS-A1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr hd pmp elec/combo_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0494","description":"Emr hd pmp elec/combo_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory shoulder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23040","description":"Exploratory shoulder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE224","description":"HIPPS-PE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed cradle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0280","description":"Bed cradle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76830","description":"Transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prostate prob score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010M","description":"Onc prostate prob score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck ext unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9112","description":"Onc dx head/neck ext unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiamine hcl 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3411","description":"Thiamine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heel bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28300","description":"Incision of heel bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hydroxyapatite regeneration medicament - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2991","description":"Application of hydroxyapatite regeneration medicament - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Approp oral rehyd recommd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4056F","description":"Approp oral rehyd recommd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM1","description":"HIPPS-1AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74020","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68335","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53605","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9140","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protect body sock ea pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0984","description":"Protect body sock ea pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12C","description":"HIPPS-CB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43425","description":"Repair esophagus opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052U","description":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0698T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crizanlizumab-tmca_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0791","description":"Injection_ crizanlizumab-tmca_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB31","description":"HIPPS-RHB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69631","description":"Repair eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ epirubicin hcl_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9178","description":"Inj_ epirubicin hcl_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1228","description":"Wheelchair spec sz spec ht b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMU","description":"HIPPS-4CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0656U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0656U","description":"CPT-0656U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA136","description":"HIPPS-PA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61600","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN1","description":"HIPPS-1CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat eyelid by injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68200","description":"Treat eyelid by injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29902","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL60","description":"HIPPS-RVL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl exhalation port for pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7045","description":"Repl exhalation port for pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8429","description":"Gradient pressure wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11308","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29879","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin ischemia modified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82045","description":"Albumin ischemia modified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP04","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP04","description":"HIPPS-ATP04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/o stimul addl 15m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97811","description":"Acupunct w/o stimul addl 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b core antibody total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86704","description":"Hep b core antibody total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26785","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hh respiratory thrpy nos/day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5181","description":"Hh respiratory thrpy nos/day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25C","description":"HIPPS-CB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of midfoot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28304","description":"Incision of midfoot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27332","description":"Removal of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8D","description":"HIPPS-RVC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivig non-lyophilized_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1599","description":"Ivig non-lyophilized_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4399","description":"HCPCS-Q4399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2A","description":"HIPPS-RUB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC51","description":"HIPPS-RHC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserve stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38207","description":"Cryopreserve stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igh vari regional mutation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81263","description":"Igh vari regional mutation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tray w/o bag/cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4310","description":"Insert tray w/o bag/cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB124","description":"HIPPS-PB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMS","description":"HIPPS-4AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ic lbw inf < 1500 gm subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99478","description":"Ic lbw inf < 1500 gm subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx med ankle fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27762","description":"Cltx med ankle fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18F","description":"HIPPS-LE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK1","description":"HIPPS-2AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66983","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23D","description":"HIPPS-PA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluvirin vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2037","description":"Fluvirin vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL1","description":"HIPPS-4AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01933","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01933","description":"CPT-01933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecallantide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1290","description":"Ecallantide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8652","description":"Fun stat score hip < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv hedia outpt dyls fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8956","description":"Pt rcv hedia outpt dyls fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99483","description":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of foot at ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27888","description":"Amputation of foot at ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat width 24-27 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2202","description":"Seat width 24-27 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01390","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01390","description":"CPT-01390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159U","description":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB206","description":"HIPPS-HB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1400","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1400","description":"HCPCS-M1400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispense fee initial 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0333","description":"Dispense fee initial 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flt3 gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81246","description":"Flt3 gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ single mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2366","description":"Battery charger_ single mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86648","description":"Diphtheria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1249","description":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple surgery abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49220","description":"Multiple surgery abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37262","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37262","description":"CPT-37262","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX17","description":"HIPPS-RVX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL26","description":"HIPPS-RHL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8C","description":"HIPPS-RHC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70220","description":"X-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8658","description":"Fun stat score le not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venous sampling by catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75893","description":"Venous sampling by catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16075","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16075","description":"CPT-16075","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK1","description":"HIPPS-2CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ removable bilateral_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1526","description":"Space maintainer_ removable bilateral_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90471","description":"Immunization admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0305","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0305","description":"CDT-D0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0952T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0952T","description":"CPT-0952T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19300","description":"Removal of breast tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0496T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity high","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3472F","description":"Ra disease activity high","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKX","description":"HIPPS-4AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL6","description":"HIPPS-2BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan flufenamide hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9080","description":"Injection_ melphalan flufenamide hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD125","description":"HIPPS-CD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoprostenol dilutant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0155","description":"Epoprostenol dilutant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is undergoing palliative dialysis with a catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9749","description":"Patient is undergoing palliative dialysis with a catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA33","description":"HIPPS-RVA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31293","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65205","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aortic assist device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33968","description":"Remove aortic assist device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis training complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90989","description":"Dialysis training complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0798T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41800","description":"Drainage of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calibrated microcap tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4651","description":"Calibrated microcap tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain nobel metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6242","description":"Bridge porcelain nobel metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44147","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30A","description":"HIPPS-ES30A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q12h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9501","description":"Hit antibiotic q12h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise lwr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21047","description":"Excise lwr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0523T","description":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99600","description":"Home visit nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fev<60% pred & no copd sym","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8925","description":"Fev<60% pred & no copd sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded calf lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4050","description":"Replace molded calf lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKW","description":"HIPPS-4AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4A","description":"HIPPS-RHB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNW","description":"HIPPS-1BFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75807","description":"Lymph vessel x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe modifica nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3649","description":"Orthopedic shoe modifica nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25B","description":"HIPPS-CA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28H","description":"HIPPS-LB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24C","description":"HIPPS-LC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg_patients with malignant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9346","description":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg_patients with malignant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45123","description":"Partial proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP2","description":"HIPPS-1CGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26775","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9697","description":"Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 100 mcg/0.5mL dosage_ for in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91301","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 100 mcg/0.5mL dosage_ for in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28297","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47141","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intentional replantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3470","description":"Intentional replantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96574","description":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric bypass incl small i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43847","description":"Gastric bypass incl small i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change stent via transureth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50385","description":"Change stent via transureth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0516","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21B","description":"HIPPS-LB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 4 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95133","description":"Immntx 4 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpectin based ostomy paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4405","description":"Nonpectin based ostomy paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject trigger points 3/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20553","description":"Inject trigger points 3/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio upr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73225","description":"Mr angio upr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD201","description":"HIPPS-HD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB236","description":"HIPPS-HB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of selenium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84255","description":"Assay of selenium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPX","description":"HIPPS-3AFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1603","description":"HCPCS-C1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1289","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1289","description":"HCPCS-J1289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM6","description":"HIPPS-4BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag iv inf init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96365","description":"Ther/proph/diag iv inf init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revis reconst shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23473","description":"Revis reconst shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47051","description":"Anesth removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45130","description":"Excision of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC54","description":"HIPPS-RHC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct maxilla segment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7947","description":"Reconstruct maxilla segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1C","description":"HIPPS-RMC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resuscitation bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8999","description":"Resuscitation bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87637","description":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68440","description":"Incise tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX12","description":"HIPPS-RHX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4015","description":"Neurology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin tags ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73552","description":"X-ray exam of femur 2/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0166U","description":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Throat x-ray & fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70370","description":"Throat x-ray & fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0401","description":"CDT-D0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB46","description":"HIPPS-RVB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereoscopic x-ray guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6002","description":"Stereoscopic x-ray guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine Home Care - A flat per diem before area wage adjustment for intermittent services furnished.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0602","description":"Routine Home Care - A flat per diem before area wage adjustment for intermittent services furnished.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18F","description":"HIPPS-CD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert uro/ves nck sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53445","description":"Insert uro/ves nck sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdtrans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0248","description":"Hdtrans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001F","description":"Heart failure composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/transplant tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23440","description":"Remove/transplant tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compression device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0675","description":"Pneumatic compression device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9174","description":"HCPCS-C9174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39541","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB221","description":"HIPPS-BB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61534","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinic service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1015","description":"Clinic service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4C","description":"HIPPS-RLA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50544","description":"Laparoscopy pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81560","description":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPV","description":"HIPPS-3CFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85420","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and if positive then documented mitigation recommendations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9922","description":"Safety concerns screen provided and if positive then documented mitigation recommendations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35091","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft finger lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26215","description":"Remove/graft finger lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plate pheres leukoredu irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9037","description":"Plate pheres leukoredu irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40805","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pharm ther osteo rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8635","description":"No pharm ther osteo rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6446","description":"Conform band s w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt pulse gen sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4638","description":"Repl batt pulse gen sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast cancer dx min invsive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8875","description":"Breast cancer dx min invsive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nonunion hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26546","description":"Repair nonunion hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01953","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01953","description":"CPT-01953","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35741","description":"Exploration popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1248","description":"Patient responded completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denervation of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27035","description":"Denervation of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0736","description":"Injection_ clindamycin phosphate_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55650","description":"Remove sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of major vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37650","description":"Revision of major vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99214","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLW","description":"HIPPS-2AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Floxuridine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9200","description":"Floxuridine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forensic cytopathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88125","description":"Forensic cytopathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin time partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85732","description":"Thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM5","description":"HIPPS-1CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp<5 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99148","description":"Mod sed diff phys/qhp<5 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9978","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12041","description":"Intmd rpr n-hf/genit 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7877","description":"Tmj arthroscopy debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0644","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0644","description":"HCPCS-J0644","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX17","description":"HIPPS-RUX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99374","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genital surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55899","description":"Genital surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15B","description":"HIPPS-PC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wet mounts/ w preparations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0111","description":"Wet mounts/ w preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable angle footplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0040","description":"Adjustable angle footplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15772","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat larynx fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31584","description":"Treat larynx fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qual life tool 2x same/impr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9634","description":"Qual life tool 2x same/impr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351U","description":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tun ip cath perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49418","description":"Insert tun ip cath perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 5%_ 250 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9045","description":"Albumin (human)_ 5%_ 250 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMT","description":"HIPPS-1AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement diaphragm/fplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7502","description":"Replacement diaphragm/fplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid uptake measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78012","description":"Thyroid uptake measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oropharyngeal suction catheter_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4628","description":"Oropharyngeal suction catheter_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11C","description":"HIPPS-HD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vit d 1 25-dihydroxy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82652","description":"Vit d 1 25-dihydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19020","description":"Incision of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0627T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce shoulder bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23491","description":"Reinforce shoulder bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29046","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1316","description":"Current tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36148","description":"Access av dial grft for proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin sign vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2002F","description":"Clin sign vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous catheter anchor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5200","description":"Percutaneous catheter anchor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of foot infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28003","description":"Treatment of foot infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/diag concurrent inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96368","description":"Ther/diag concurrent inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2023F","description":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5699","description":"Shoulder harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70480","description":"Ct orbit/ear/fossa w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urofollitropin_ 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3355","description":"Urofollitropin_ 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial sampling or hysteroscopy with biopsy and results documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9823","description":"Endometrial sampling or hysteroscopy with biopsy and results documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood ph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82800","description":"Blood ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd w multi methods msg/accs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2510","description":"Sgd w multi methods msg/accs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect scapula tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23210","description":"Resect scapula tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srch for ct w in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9341","description":"Srch for ct w in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamines 3or 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80325","description":"Amphetamines 3or 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36565","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported employment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6106","description":"Supported employment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise lesion testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54512","description":"Excise lesion testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28B","description":"HIPPS-LC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with computer-assisted image-guided navigation_ incl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7511","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with computer-assisted image-guided navigation_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no daily aspirin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9278","description":"Doc no daily aspirin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8914","description":"Mra w/o fol w/cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cough stimulating device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0482","description":"Cough stimulating device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporal bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69979","description":"Temporal bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded thigh lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4040","description":"Replace molded thigh lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric wheelchair nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1229","description":"Pediatric wheelchair nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for pyelography (as nephrostogram_ pyelostogram_ antegrade pyeloureterograms) through nephrostomy or pyelostomy tube_ or indwelling ureteral c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50394","description":"Injection procedure for pyelography (as nephrostogram_ pyelostogram_ antegrade pyeloureterograms) through nephrostomy or pyelostomy tube_ or indwelling ureteral c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB51","description":"HIPPS-RHB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - care coordination","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9992","description":"Dental case management - care coordination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP3","description":"HIPPS-1BGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remv/replc penis pros compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54417","description":"Remv/replc penis pros compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4393","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4393","description":"HCPCS-Q4393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0857","description":"Pwc gp3 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioidomycosis skin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86490","description":"Coccidioidomycosis skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33231","description":"Insrt pulse gen w/mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ven thrombosis images bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78458","description":"Ven thrombosis images bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL1","description":"HIPPS-1CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12D","description":"HIPPS-HE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6010","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasty_ one vertebral body_ unilateral or bilateral injection; cervical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2360","description":"Percutaneous vertebroplasty_ one vertebral body_ unilateral or bilateral injection; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1C","description":"HIPPS-RHC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress breaker","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6940","description":"Stress breaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN2","description":"HIPPS-3BFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scaling in the presence of generalized moderate or severe gingival inflammation--full mouth_ after oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4346","description":"Scaling in the presence of generalized moderate or severe gingival inflammation--full mouth_ after oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0950T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0950T","description":"CPT-0950T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density/peripheral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77081","description":"Dxa bone density/peripheral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB150","description":"HIPPS-CB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64580","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKU","description":"HIPPS-1BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28102","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5811","description":"Denture interm cmplt mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD120","description":"HIPPS-LD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean & inspect rem dent man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9933","description":"Clean & inspect rem dent man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transthor diaphrag hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43335","description":"Transthor diaphrag hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition of walker to cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29440","description":"Addition of walker to cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter therapy_ infusion_ any method (eg_ thrombolysis other than coronary)_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75896","description":"Transcatheter therapy_ infusion_ any method (eg_ thrombolysis other than coronary)_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optimal care for patients with episodic neurological conditions mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0003","description":"Optimal care for patients with episodic neurological conditions mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13A","description":"HIPPS-BB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Varus/valgus strap padded/li","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2270","description":"Varus/valgus strap padded/li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL17","description":"HIPPS-RUL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd cautery tumor polyp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43250","description":"Egd cautery tumor polyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial tubercle hgt w/ toe f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5020","description":"Tibial tubercle hgt w/ toe f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0280U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Friction dampening arm supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2629","description":"Friction dampening arm supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4412","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4412","description":"HCPCS-Q4412","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78201","description":"Liver imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86812","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33542","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amp reqd w/in 48h ieler proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9641","description":"Amp reqd w/in 48h ieler proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0168U","description":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial angioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61630","description":"Intracranial angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adalimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0135","description":"Adalimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral fludarabine phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8562","description":"Oral fludarabine phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med pt reas no hcc scrn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9456","description":"Doc med pt reas no hcc scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMX","description":"HIPPS-3BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8I","description":"HIPPS-RUL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54861","description":"Removal of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0705","description":"Transfer device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43887","description":"Remove gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation thumb complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20827","description":"Replantation thumb complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0436","description":"Rotary wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8X","description":"HIPPS-RMB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2313","description":"Lens sphc trifo 7.25-12/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40761","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye photodynamic ther add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67225","description":"Eye photodynamic ther add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLV","description":"HIPPS-1CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ neurostim test kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1897","description":"Lead_ neurostim test kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4390","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4390","description":"HCPCS-Q4390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0800","description":"Pov group 1 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0A","description":"HIPPS-RLX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate biopsy_ any mthd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0416","description":"Prostate biopsy_ any mthd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28606","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop ea cast chg & realign","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6386","description":"Postop ea cast chg & realign","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drop lock knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2182","description":"Drop lock knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us fine needle bx/aspir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43238","description":"Egd us fine needle bx/aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial limited study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93888","description":"Intracranial limited study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0875T","description":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC140","description":"HIPPS-HC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1328","description":"Patients with a diagnosis of acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27176","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59610","description":"Vbac delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47362","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1273","description":"Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L ventric pacing lead add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33225","description":"L ventric pacing lead add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES112","description":"HIPPS-ES112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables_ patient lift_ and adjustabl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0501","description":"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables_ patient lift_ and adjustabl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18D","description":"HIPPS-CD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allgrft implnt knee w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29867","description":"Allgrft implnt knee w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood product/irradiation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86945","description":"Blood product/irradiation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28D","description":"HIPPS-CB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00104","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00104","description":"CPT-00104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam synovial fluid crystals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89060","description":"Exam synovial fluid crystals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dark field examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87164","description":"Dark field examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eo rigid w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3762","description":"Eo rigid w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 11-20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98967","description":"Hc pro phone call 11-20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29826","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Patisiran_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0222","description":"Injection_ Patisiran_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61522","description":"Removal of brain abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC16","description":"HIPPS-RMC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Ramucirumab_ 5 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9025","description":"Injection_ Ramucirumab_ 5 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric recurrent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9103","description":"Onc dx gastric recurrent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oth resp proc_ group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0239","description":"Oth resp proc_ group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK1","description":"HIPPS-4CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1008T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1008T","description":"CPT-1008T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX34","description":"HIPPS-RHX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoid synthetic 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80352","description":"Cannabinoid synthetic 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1095T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1095T","description":"CPT-1095T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLV","description":"HIPPS-3BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4D","description":"HIPPS-RML4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES206","description":"HIPPS-ES206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tens suppl 2 lead per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4595","description":"Tens suppl 2 lead per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60240","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol decanoate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1631","description":"Haloperidol decanoate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatc p r1/r2 no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9106","description":"Onc dx pancreatc p r1/r2 no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 2vw frontal&latl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71020","description":"Chest x-ray 2vw frontal&latl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401U","description":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90593","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90593","description":"CPT-90593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ mh new pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0469","description":"Fqhc visit_ mh new pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0014","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recomb novoeight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7182","description":"Factor viii recomb novoeight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom 6/> yrs 4/> param","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95810","description":"Polysom 6/> yrs 4/> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL51","description":"HIPPS-RHL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep a vac injxn admin/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4148F","description":"Hep a vac injxn admin/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8670","description":"Fun stat score ue not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61867","description":"Implant neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90589","description":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent ea add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37237","description":"Open/perq place stent ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart vessel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33500","description":"Repair heart vessel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert temp bladder cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51702","description":"Insert temp bladder cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24600","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Normal Native Connection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93593","description":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Normal Native Connection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous component_ supply or accessory for use with total artificial heart system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8698","description":"Miscellaneous component_ supply or accessory for use with total artificial heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporal artery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37609","description":"Temporal artery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lip surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40799","description":"Lip surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8541","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8541","description":"HCPCS-J8541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and atherectomy_ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9766","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and atherectomy_ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230U","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416U","description":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier for use w/ regula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0555","description":"Humidifier for use w/ regula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx atrial fib pulm vein isol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93656","description":"Tx atrial fib pulm vein isol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen depression performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3725F","description":"Screen depression performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25805","description":"Fusion/graft of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB50","description":"HIPPS-RUB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0632U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0632U","description":"CPT-0632U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj estrogen conjugate 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1410","description":"Inj estrogen conjugate 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5A","description":"HIPPS-RUX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33241","description":"Remove pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilat macular exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2021F","description":"Dilat macular exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6035","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6035","description":"HCPCS-L6035","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7d/.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2207","description":"Lens sphcy bifocal 4.25-7d/.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig minidose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90385","description":"Rh ig minidose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak/hip alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5920","description":"Endo ak/hip alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-52443","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52443","description":"CPT-52443","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42180","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84155","description":"Assay of protein serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toc dur aneth to icu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9657","description":"Toc dur aneth to icu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74019","description":"Radiologic examination_ abdomen; 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0790T","description":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ixabepilone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9207","description":"Ixabepilone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB116","description":"HIPPS-PB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert semi-rigid prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54400","description":"Insert semi-rigid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy upr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15878","description":"Suction lipectomy upr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0666","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0666","description":"HCPCS-G0666","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP5","description":"HIPPS-1CFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61524","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC46","description":"HIPPS-RMC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77318","description":"Brachytx isodose complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23C","description":"HIPPS-ES23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24A","description":"HIPPS-LD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34490","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28A","description":"HIPPS-BB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20606","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn bilat hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5100","description":"Body-worn bilat hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compact travel hemodialyzer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1635","description":"Compact travel hemodialyzer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1A","description":"HIPPS-RVA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood methemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83045","description":"Blood methemoglobin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27003","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positional nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92542","description":"Positional nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for salivary x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42550","description":"Injection for salivary x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Brexanolone_ 1Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9055","description":"Injection_ Brexanolone_ 1Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in ltch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5007","description":"Hospice in ltch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol renal-amirosy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5000","description":"Parenteral sol renal-amirosy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med admin_ not oral/inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1503","description":"Med admin_ not oral/inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy by infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0084","description":"Chemotherapy by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No smok b/4 anes day of surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9644","description":"No smok b/4 anes day of surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg or abdomen bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4358","description":"Urinary leg or abdomen bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52285","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21431","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace/revise brain shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62230","description":"Replace/revise brain shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28G","description":"HIPPS-CB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoped ladies shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3216","description":"Orthoped ladies shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3D","description":"HIPPS-RHA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45349","description":"Sigmoidoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB160","description":"HIPPS-LB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise tendon forearm/wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25109","description":"Excise tendon forearm/wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angina absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1012F","description":"Angina absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6084","description":"Implant Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8G","description":"HIPPS-RHB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1057T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1057T","description":"CPT-1057T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9794","description":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgicl dress hold non-reuse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4461","description":"Surgicl dress hold non-reuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18G","description":"HIPPS-BA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefiderocol_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0693","description":"Injection_ cefiderocol_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11042","description":"Deb subq tissue 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long leg fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4030","description":"Cast sup long leg fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas iliac a device addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34808","description":"Endovas iliac a device addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70360","description":"X-ray exam of neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0602U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0602U","description":"CPT-0602U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2390","description":"Solid drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt mand lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5751","description":"Denture reln cmplt mand lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39499","description":"Chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-bvzr_ biosimilar_ (Zirabev)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5118","description":"Injection_ bevacizumab-bvzr_ biosimilar_ (Zirabev)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dipyridamole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1245","description":"Dipyridamole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22A","description":"HIPPS-LB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem focal defic constant fri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5230","description":"Fem focal defic constant fri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home environment assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1028","description":"Home environment assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery electrocorticogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95829","description":"Surgery electrocorticogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss conditn maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5850","description":"Denture tiss conditn maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99334","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11B","description":"HIPPS-PB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smear special stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87207","description":"Smear special stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 2 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3376F","description":"Ajcc brstcncr stage 2 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splint fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4022","description":"Cast sup sht arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0231","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0231","description":"HCPCS-M0231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Car seat/bed test 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94780","description":"Car seat/bed test 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gold sodium thiomaleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1600","description":"Gold sodium thiomaleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair commode seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0968","description":"Wheelchair commode seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25C","description":"HIPPS-BA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11440","description":"Exc face-mm b9+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0516","description":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneum walk boot pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4386","description":"Non-pneum walk boot pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90676","description":"Rabies vaccine id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29876","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kit gene analys d816 variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81273","description":"Kit gene analys d816 variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27134","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLT","description":"HIPPS-2AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33417","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35304","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1601","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1601","description":"CDT-D1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2604","description":"Skin protect wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC244","description":"HIPPS-HC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28C","description":"HIPPS-PB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (vivimusta)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9056","description":"Injection_ bendamustine hydrochloride (vivimusta)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Circumcision neonate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54160","description":"Circumcision neonate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj cmo not pres rsn not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8929","description":"Adj cmo not pres rsn not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9796","description":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17263","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66172","description":"Incision of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK6","description":"HIPPS-3AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other specified case mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9012","description":"Other specified case mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have had a hysterectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9774","description":"Patients who have had a hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3B","description":"HIPPS-AAA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin alfa_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0885","description":"Epoetin alfa_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLU","description":"HIPPS-2BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limb muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95831","description":"Limb muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc rectal tumor endoscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184T","description":"Exc rectal tumor endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Romidepsin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9315","description":"Romidepsin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA32","description":"HIPPS-RLA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; subdural taps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0131U","description":"Anesthesia for intracranial procedures; subdural taps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0203","description":"HCPCS-A0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stab phleb veins xtr 10-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37765","description":"Stab phleb veins xtr 10-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevated or hypertensive blood pressure reading documented_ and the indicated follow-up is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1278","description":"Elevated or hypertensive blood pressure reading documented_ and the indicated follow-up is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric symptoms assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9742","description":"Psychiatric symptoms assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78431","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio or biodmatrix_ inj 1cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4139","description":"Amnio or biodmatrix_ inj 1cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opiate(s)_ drug and metabolites_ each procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6056","description":"Opiate(s)_ drug and metabolites_ each procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0895T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9076","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9076","description":"HCPCS-J9076","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ dual focus_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2525","description":"Contact lens_ hydrophilic_ dual focus_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464T","description":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM4","description":"HIPPS-4CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1024","description":"Nonpneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delivery/set up/dispensing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9901","description":"Delivery/set up/dispensing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted ambulance service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0999","description":"Unlisted ambulance service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent placemt retro carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37217","description":"Stent placemt retro carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-programble infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0782","description":"Non-programble infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sng/dbl mechanical act","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2005","description":"Kafo sng/dbl mechanical act","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27244","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into brain canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61055","description":"Injection into brain canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec rpt no doc class histo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9425","description":"Spec rpt no doc class histo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNW","description":"HIPPS-1AFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL1","description":"HIPPS-2AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Band stabilization - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2976","description":"Band stabilization - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mucus trap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8210","description":"Mucus trap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25D","description":"HIPPS-LC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC43","description":"HIPPS-RUC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interp both jaw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0367","description":"Cone beam ct interp both jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc slp ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0161","description":"Hhc slp ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1028","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6196","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6196","description":"CDT-D6196","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0527U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0527U","description":"CPT-0527U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx_ BioSkin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4163","description":"WoundEx_ BioSkin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35521","description":"Art byp grft axill-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical food oral 100% nutr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9433","description":"Medical food oral 100% nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped specmetabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4162","description":"Ef ped specmetabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frenulectomy/frenulotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7960","description":"Frenulectomy/frenulotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE130","description":"HIPPS-PE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP6","description":"HIPPS-1AHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15570","description":"Skin pedicle flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m exametazime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9521","description":"Tc99m exametazime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fixed retainers","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8694","description":"Repair fixed retainers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti r-viral thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4270F","description":"Pt rcvng anti r-viral thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo cholangiopancreatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43261","description":"Endo cholangiopancreatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99377","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Signs of melanoma absent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8749","description":"Signs of melanoma absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 7-8 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95910","description":"Nrv cndj test 7-8 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33511","description":"Cabg vein two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4001","description":"Diagnostic Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9809","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9809","description":"HCPCS-C9809","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNX","description":"HIPPS-1CGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK2","description":"HIPPS-5AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io anal gast n-stim init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95980","description":"Io anal gast n-stim init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Simult panc kidn trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2065","description":"Simult panc kidn trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9089","description":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsect hip tum incl femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27078","description":"Rsect hip tum incl femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2160","description":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73700","description":"Ct lower extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malaria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86750","description":"Malaria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"40-75y w/type 1/2 w/ldl-c rs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9676","description":"40-75y w/type 1/2 w/ldl-c rs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21087","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0525","description":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE160","description":"HIPPS-LE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX56","description":"HIPPS-RLX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24B","description":"HIPPS-PE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5138","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impl/redo electrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43881","description":"Impl/redo electrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27218","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51570","description":"Removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25130","description":"Removal of wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed re comp thxpy rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4268F","description":"Pt ed re comp thxpy rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKV","description":"HIPPS-1BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNW","description":"HIPPS-3BHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6090","description":"Repair implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8B","description":"HIPPS-RVC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral bolus nurs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9343","description":"Hit enteral bolus nurs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18X","description":"HIPPS-BB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single lens spectacle mount","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2610","description":"Single lens spectacle mount","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50727","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25905","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0518U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0518U","description":"CPT-0518U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0802","description":"Pov group 1 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4D","description":"HIPPS-RVL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKV","description":"HIPPS-4AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15A","description":"HIPPS-CC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Escharotomy addl incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16036","description":"Escharotomy addl incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54055","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw 2 sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2311","description":"Electro connect btw 2 sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infuse radioactive materials","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77750","description":"Infuse radioactive materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9928","description":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9891","description":"MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1301","description":"Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand restorat thumb/1 finger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6900","description":"Hand restorat thumb/1 finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Driver pneumatic vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0480","description":"Driver pneumatic vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95726","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20D","description":"HIPPS-HD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD101","description":"HIPPS-LD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMV","description":"HIPPS-1AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2138","description":"Back Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77280","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1736","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1736","description":"HCPCS-J1736","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap gastr bypass incl smll i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43645","description":"Lap gastr bypass incl smll i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Design custom breast implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19396","description":"Design custom breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crisis interven waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2034","description":"Crisis interven waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59410","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA34","description":"HIPPS-RHA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chin cup interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2324","description":"Chin cup interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad pump ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33981","description":"Replace vad pump ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22B","description":"HIPPS-HE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1230","description":"Methadone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE121","description":"HIPPS-LE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28H","description":"HIPPS-PA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82077","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE145","description":"HIPPS-LE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK6","description":"HIPPS-4AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48547","description":"Duodenal exclusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91300","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1017T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1017T","description":"CPT-1017T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1048T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1048T","description":"CPT-1048T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL1","description":"HIPPS-4BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5A","description":"HIPPS-RUL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01742","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01742","description":"CPT-01742","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28222","description":"Release of foot tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9981","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE111","description":"HIPPS-LE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspend bowel w/prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44700","description":"Suspend bowel w/prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneum walk boot pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4387","description":"Non-pneum walk boot pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61543","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular prosthesis interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5923","description":"Ocular prosthesis interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion total face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15780","description":"Dermabrasion total face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP4","description":"HIPPS-3BGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22C","description":"HIPPS-CC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduct simple facial bone fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7680","description":"Reduct simple facial bone fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73100","description":"X-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49084","description":"Peritoneal lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9750","description":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB34","description":"HIPPS-RVB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medications not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9638","description":"At least two orders for the same high-risk medications not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPX","description":"HIPPS-3CHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of jaw muscle/bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21295","description":"Revision of jaw muscle/bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant artery each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35697","description":"Reimplant artery each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM1","description":"HIPPS-4CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27334","description":"Remove knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90623","description":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_ domiciliary_ rest ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2015","description":"Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_ domiciliary_ rest ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of toes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29550","description":"Strapping of toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43123","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA52","description":"HIPPS-RHA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE216","description":"HIPPS-CE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1019","description":"Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient had medical reason for not performing lower extremity neurological exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2179","description":"Clinician documented that patient had medical reason for not performing lower extremity neurological exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4016","description":"Cast sup gauntlet ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3D","description":"HIPPS-RHC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB44","description":"HIPPS-RHB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3C","description":"HIPPS-RHA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL4","description":"HIPPS-1CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27552","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41100","description":"Biopsy of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver whole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47143","description":"Prep donor liver whole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMV","description":"HIPPS-4CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sildenafil citrate_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0090","description":"Sildenafil citrate_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inhaled bronchodilator rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4025F","description":"Inhaled bronchodilator rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63276","description":"Bx/exc xdrl spine lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7544","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace g/c tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49450","description":"Replace g/c tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute hepatitis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80074","description":"Acute hepatitis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss 1st imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10035","description":"Perq dev soft tiss 1st imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX03","description":"HIPPS-RUX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL32","description":"HIPPS-RHL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58950","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ccp antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86200","description":"Ccp antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB126","description":"HIPPS-HB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB225","description":"HIPPS-BB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA254","description":"HIPPS-BA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehabilitation pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9473","description":"Pulmonary rehabilitation pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26735","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72069","description":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0462","description":"HCPCS-J0462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36221","description":"Place cath thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6111","description":"Implnt/abut remov dent mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3273F","description":"High risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99283","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm evaluation test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89329","description":"Sperm evaluation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cultured chondrocytes implnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7330","description":"Cultured chondrocytes implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55862","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES324","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES324","description":"HIPPS-ES324","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459U","description":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28D","description":"HIPPS-PC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77074","description":"X-rays bone survey limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2395","description":"Offset knee joint heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3A","description":"HIPPS-RLB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c vent tray fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1029","description":"W/c vent tray fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11044","description":"Deb bone 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph scope w/submucous inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43201","description":"Esoph scope w/submucous inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj common digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64632","description":"N block inj common digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40525","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"22nf nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2360","description":"22nf nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inc thyr node <1.0 in rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9552","description":"Inc thyr node <1.0 in rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12B","description":"HIPPS-HE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult disp brief/diap abv xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4543","description":"Adult disp brief/diap abv xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK3","description":"HIPPS-5BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC106","description":"HIPPS-PC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extended culture of oocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89272","description":"Extended culture of oocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Methadone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2067","description":"Medication Assisted Treatment_ Methadone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKW","description":"HIPPS-2BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fos c chld non-ther per mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0042","description":"Fos c chld non-ther per mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fem hernia init blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49553","description":"Rpr fem hernia init blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng esa thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4172F","description":"Pt not rcvng esa thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28A","description":"HIPPS-PE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tofersen_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9157","description":"Injection_ tofersen_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low risk for retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3072F","description":"Low risk for retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of soft tissue abscess_ subfascial (ie_ involves the soft tissue below the deep fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20005","description":"Incision and drainage of soft tissue abscess_ subfascial (ie_ involves the soft tissue below the deep fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leveen/shunt patency exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78291","description":"Leveen/shunt patency exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPS","description":"HIPPS-3CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86813","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 1st unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36251","description":"Ins cath ren art 1st unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt in the home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9131","description":"Pt in the home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB124","description":"HIPPS-LB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2163","description":"Patient Received An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ penile_ non-inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2622","description":"Prosthesis_ penile_ non-inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc sinus ct 28d or dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9350","description":"No doc sinus ct 28d or dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm phone r-strip device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93293","description":"Pm phone r-strip device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81326","description":"Pmp22 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IV injection_ bebtelovimab_ include injection and post administration monitoring in the patientās home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0223","description":"IV injection_ bebtelovimab_ include injection and post administration monitoring in the patientās home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum compres w/cal pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0652","description":"Pneum compres w/cal pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0492","description":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf vein add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36476","description":"Endovenous rf vein add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63198","description":"Incise spin&cord 2 stgs crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4A","description":"HIPPS-RLX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21B","description":"HIPPS-PE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23660","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0614U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0614U","description":"CPT-0614U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 3-5 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87631","description":"Resp virus 3-5 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK1","description":"HIPPS-3AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA56","description":"HIPPS-RLA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43651","description":"Laparoscopy vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay bld/serum cholesterol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82465","description":"Assay bld/serum cholesterol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homaker service nos per 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5130","description":"Homaker service nos per 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18I","description":"HIPPS-HE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5125","description":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atropine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7636","description":"Atropine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/uro repair compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58293","description":"Vag hyst w/uro repair compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant total heart system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051T","description":"Implant total heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD214","description":"HIPPS-PD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58940","description":"Removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50570","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retain crown resin w hi nble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6720","description":"Retain crown resin w hi nble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove abdominal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38747","description":"Remove abdominal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icatibant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1744","description":"Icatibant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE140","description":"HIPPS-LE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp obturator prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5936","description":"Temp obturator prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22B","description":"HIPPS-CB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3C","description":"HIPPS-RVB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54660","description":"Revision of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB256","description":"HIPPS-LB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec coll non-blood:a/d test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0048","description":"Spec coll non-blood:a/d test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5661","description":"Multi-durometer symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMV","description":"HIPPS-2AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No qual card diag prior12mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1461F","description":"No qual card diag prior12mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL1","description":"HIPPS-1AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0062U","description":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not eligible due to active diagnosis of hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1290","description":"Patient not eligible due to active diagnosis of hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81111","description":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9225","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9225","description":"CDT-D9225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL2","description":"HIPPS-3BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24D","description":"HIPPS-LD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Betadine/iodine swabs/wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4247","description":"Betadine/iodine swabs/wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0548","description":"HCPCS-G0548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44312","description":"Revision of ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auricular replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5927","description":"Auricular replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sincalide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2805","description":"Sincalide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6067","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC211","description":"HIPPS-LC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergy immunology services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95199","description":"Allergy immunology services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administrat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0090","description":"Professional services_ initial visit_ for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication and delivery of oral appliance therapy (OAT) morning repositioning device","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9954","description":"Fabrication and delivery of oral appliance therapy (OAT) morning repositioning device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cimetidine hydroc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0023","description":"Injection_ cimetidine hydroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23665","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4B","description":"HIPPS-RVC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB14","description":"HIPPS-RVB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 18-39","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99385","description":"Prev visit new age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement air bubble detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1530","description":"Replacement air bubble detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ladies shoes hightop depth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3217","description":"Ladies shoes hightop depth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC03","description":"HIPPS-RMC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest lining biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52251","description":"Anesth chest lining biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one well-child visit with a PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9964","description":"Patient received at least one well-child visit with a PCP during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm system_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5281","description":"Ald fm/dm system_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair anomaly w/conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33608","description":"Repair anomaly w/conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disp fee inhal drugs/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0513","description":"Disp fee inhal drugs/30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28208","description":"Repair of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0893","description":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matrion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4201","description":"Matrion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22556","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair stern/nuss w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21742","description":"Repair stern/nuss w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp recip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290T","description":"Laser inc for pkp/lkp recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1006T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1006T","description":"CPT-1006T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14D","description":"HIPPS-PA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optic nerve head eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2027F","description":"Optic nerve head eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no scrn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9452","description":"Doc med reas no scrn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hemorrhoid clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46320","description":"Removal of hemorrhoid clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12A","description":"HIPPS-HD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum 5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49203","description":"Exc abd tum 5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86631","description":"Chlamydia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aoe intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9465","description":"Aoe intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86628","description":"Candida antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0687U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0687U","description":"CPT-0687U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18A","description":"HIPPS-ES18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amines vaginal fluid qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82120","description":"Amines vaginal fluid qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0554U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0554U","description":"CPT-0554U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE230","description":"HIPPS-HE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rigid ped w/c tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1231","description":"Rigid ped w/c tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uro sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53446","description":"Remove uro sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ triluron_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7332","description":"Hyaluronan or derivative_ triluron_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cardiac electrophys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53751","description":"Anesth cardiac electrophys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-tibial shell molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2340","description":"Pre-tibial shell molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sing fre stirr thi/calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2000","description":"Kafo sing fre stirr thi/calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25272","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLS","description":"HIPPS-2BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin dispos pen 3 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5571","description":"Insulin dispos pen 3 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia & fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27709","description":"Incision of tibia & fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xii hageman","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85280","description":"Clot factor xii hageman","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta not given no reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9188","description":"Beta not given no reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid check both ears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92593","description":"Hearing aid check both ears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome karyotype study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88280","description":"Chromosome karyotype study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belatacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0485","description":"Belatacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"System reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9192","description":"System reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5247","description":"Hearing aid_ prog_ mon_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67904","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26706","description":"Pin knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled breath condensate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83987","description":"Exhaled breath condensate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone response","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80414","description":"Testosterone response","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plas shoe insert w ank joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2180","description":"Plas shoe insert w ank joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transesoph doppl cardiac mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9157","description":"Transesoph doppl cardiac mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock multi ply upper lm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8435","description":"Pros sock multi ply upper lm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4030F","description":"Oxygen therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine_ acetone-killed_ dried (akd)_ for subcutaneous or jetinjection use (u.s. military)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90693","description":"Typhoid vaccine_ acetone-killed_ dried (akd)_ for subcutaneous or jetinjection use (u.s. military)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service_ 16-30 minutes time Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0311","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service_ 16-30 minutes time Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5B","description":"HIPPS-RUC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt dischg <=2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9255","description":"Doc pt dischg <=2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB13","description":"HIPPS-RVB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82310","description":"Assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0112","description":"Cranial cervical orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult companioncare per 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5135","description":"Adult companioncare per 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair anal fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46288","description":"Repair anal fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig for ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8561","description":"Pt inelig for ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay dipropylacetic acd tot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80164","description":"Assay dipropylacetic acd tot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abdominal arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75635","description":"Ct angio abdominal arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ sch team conf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9007","description":"Mccd_ sch team conf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18A","description":"HIPPS-CE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 100-300","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88275","description":"Cytogenetics 100-300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35092","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin suppl 100 caps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0194","description":"Vitamin suppl 100 caps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair calf rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0995","description":"Wheelchair calf rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1499","description":"Spinal orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv authrj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86079","description":"Phys blood bank serv authrj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61253","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43310","description":"Repair of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLT","description":"HIPPS-4BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair bearings","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2210","description":"Wheelchair bearings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK5","description":"HIPPS-2AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6517","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6517","description":"HCPCS-A6517","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0760T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13D","description":"HIPPS-HE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco Screening Not Performed Or Tobacco Cessation Intervention Not Provided On The Date Of The Encounter Or Within The Previous 12 Months_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0029","description":"Tobacco Screening Not Performed Or Tobacco Cessation Intervention Not Provided On The Date Of The Encounter Or Within The Previous 12 Months_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of biceps tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24340","description":"Repair of biceps tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84295","description":"Assay of serum sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96131","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual cell count each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85032","description":"Manual cell count each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family/couple counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1006","description":"Family/couple counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy w/rib resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32035","description":"Thoracostomy w/rib resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair narrowing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0969","description":"Wheelchair narrowing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had History Of At Least One Of The Following Contraindications Any Time During Or Before The Measurement Period: Anaphylaxis Due To Tdap Vaccine_ Anaphylaxis Due To Td","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2155","description":"Patient Had History Of At Least One Of The Following Contraindications Any Time During Or Before The Measurement Period: Anaphylaxis Due To Tdap Vaccine_ Anaphylaxis Due To Td","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC43","description":"HIPPS-RMC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impr vis acuit w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9516","description":"Impr vis acuit w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1000F","description":"Tobacco use assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior asis pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1250","description":"Anterior asis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28043","description":"Exc foot/toe tum sc < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vibrate quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107T","description":"Vibrate quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1031","description":"Nonpneumatic compression controller without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28113","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18E","description":"HIPPS-CD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMS","description":"HIPPS-4AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8D","description":"HIPPS-RVA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35665","description":"Art byp iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Finding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1735","description":"Employment - Job Finding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esano aca_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4275","description":"Esano aca_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKX","description":"HIPPS-1CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove for body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46608","description":"Anoscopy remove for body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic training; under supervision of a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92066","description":"Orthoptic training; under supervision of a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36147","description":"Access av dial grft for eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognit impairment assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3720F","description":"Cognit impairment assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim 6mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2505","description":"Injection_ pegfilgrastim 6mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86308","description":"Heterophile antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2C","description":"HIPPS-RLA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed)_ Single S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78429","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed)_ Single S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL2","description":"HIPPS-1BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12A","description":"HIPPS-PB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline_ 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4217","description":"Sterile water/saline_ 500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Octreotide inj_ non-depot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2354","description":"Octreotide inj_ non-depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subepithelial tissue graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4273","description":"Subepithelial tissue graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56605","description":"Biopsy of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ binaural_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5248","description":"Hearing aid_ binaural_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15D","description":"HIPPS-CC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device interrogate remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93294","description":"Pm device interrogate remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8B","description":"HIPPS-RMC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2D","description":"HIPPS-RVX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23B","description":"HIPPS-LB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01638","description":"CPT-01638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preorthodontic tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8660","description":"Preorthodontic tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aneurysm press sensor add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34806","description":"Aneurysm press sensor add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNU","description":"HIPPS-1AGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso milwauke initial model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1000","description":"Ctlso milwauke initial model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4226","description":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0A","description":"HIPPS-RMA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj w/fluor eval cv device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36598","description":"Inj w/fluor eval cv device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18B","description":"HIPPS-LE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97167","description":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7368","description":"Lithium ion battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86663","description":"Epstein-barr antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable Unilateral Partial Denture - One Piece Flexible Base - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5284","description":"Removable Unilateral Partial Denture - One Piece Flexible Base - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Not Met: The Residual Change Score Is Less Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2167","description":"Performance Not Met: The Residual Change Score Is Less Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete ivf nos case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4015","description":"Complete ivf nos case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0668","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0668","description":"HCPCS-J0668","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression glove_ custom_ heavy weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6580","description":"Gradient compression glove_ custom_ heavy weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr unheal etoh w/counsel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9621","description":"Scr unheal etoh w/counsel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28820","description":"Amputation of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43605","description":"Biopsy of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8D","description":"HIPPS-RML8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb infusn pump insulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0784","description":"Ext amb infusn pump insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA226","description":"HIPPS-BA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11621","description":"Exc s/n/h/f/g mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1786","description":"Pmkr_ single_ rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture type immunologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87147","description":"Culture type immunologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN5","description":"HIPPS-1AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1251","description":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7331","description":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD126","description":"HIPPS-LD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33015","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81259","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC111","description":"HIPPS-PC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray assay calculus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82370","description":"X-ray assay calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ent procedure/service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92700","description":"Ent procedure/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA155","description":"HIPPS-PA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep corneal endo allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65757","description":"Prep corneal endo allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL25","description":"HIPPS-RUL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric service/therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90899","description":"Psychiatric service/therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055U","description":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27200","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c >/= 130 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3050F","description":"Ldl-c >/= 130 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77771","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX10","description":"HIPPS-RVX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0B","description":"HIPPS-RVC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lsh w/t/o uterus above 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58544","description":"Lsh w/t/o uterus above 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies w/o pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4223","description":"Infusion supplies w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ clevidipine butyrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9248","description":"Inj_ clevidipine butyrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewings four films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0274","description":"Dental bitewings four films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain canal shunt procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61070","description":"Brain canal shunt procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45300","description":"Proctosigmoidoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99222","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1805","description":"HCPCS-A1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0660","description":"Pneumatic appliance full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbt/fac/nck w/o &w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70543","description":"MRI orbt/fac/nck w/o &w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD121","description":"HIPPS-LD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w<3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6442","description":"Conform band n/s w<3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27881","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE226","description":"HIPPS-HE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition venous catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36597","description":"Reposition venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0303","description":"HCPCS-B0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xiii fibrin stab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85290","description":"Clot factor xiii fibrin stab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary rubber pouch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4380","description":"Urinary rubber pouch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77605","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1413","description":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant pupillometry w/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341T","description":"Quant pupillometry w/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5C","description":"HIPPS-RML5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB151","description":"HIPPS-CB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0431","description":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5644","description":"Above knee wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; removal_ each balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550T","description":"Transperineal periurethral balloon continence device; removal_ each balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos macroalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3062F","description":"Pos macroalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0664U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0664U","description":"CPT-0664U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34D","description":"HIPPS-ES34D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3406","description":"HCPCS-J3406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29844","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vendaje ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4279","description":"Vendaje ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27536","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77402","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1413","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1413","description":"HCPCS-M1413","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptom mgmnt plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555F","description":"Symptom mgmnt plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient enrolled in hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9858","description":"Patient enrolled in hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD217","description":"HIPPS-HD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24940","description":"Revision of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0504","description":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus endoscopy/ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43205","description":"Esophagus endoscopy/ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15B","description":"HIPPS-BB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim not spine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0747","description":"Elec osteogen stim not spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLS","description":"HIPPS-4BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29044","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4D","description":"HIPPS-RVA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ home monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9006","description":"Mccd_ home monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC224","description":"HIPPS-HC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report for tissue specimens produced from wide local excisions or re-excisions","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1166","description":"Pathology report for tissue specimens produced from wide local excisions or re-excisions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt has symp&signs neuropathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3753F","description":"Pt has symp&signs neuropathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMV","description":"HIPPS-3CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8653","description":"Fun stat score hip pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch on barr w/flng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5073","description":"Urinary pouch on barr w/flng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0184","description":"Dry pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5260","description":"Hearing aid_ digit_ bin_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA160","description":"HIPPS-PA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine for inhalation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2062","description":"Loxapine for inhalation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite not-in-home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0045","description":"Respite not-in-home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain open retroperi abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49060","description":"Drain open retroperi abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1105","description":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35476","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4042","description":"Cast sup lng leg splnt fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43611","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31230","description":"Removal of upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist/elbow bowden cbl dir f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6582","description":"Wrist/elbow bowden cbl dir f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Install spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63740","description":"Install spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70010","description":"Contrast x-ray of brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM6","description":"HIPPS-2AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25A","description":"HIPPS-LE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2C","description":"HIPPS-RUL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peg interferon alfa-2b/10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0148","description":"Peg interferon alfa-2b/10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of shoulder cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29058","description":"Application of shoulder cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26075","description":"Explore/treat finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arch supp att to shoe long/m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3090","description":"Arch supp att to shoe long/m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0547","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0547","description":"HCPCS-G0547","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15135","description":"Derm autograft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0737","description":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD240","description":"HIPPS-CD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behind ear binaur hearing ai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5140","description":"Behind ear binaur hearing ai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy nail unit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11755","description":"Biopsy nail unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carcinoembryonic antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82378","description":"Carcinoembryonic antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr knee disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5706","description":"Custom shape cvr knee disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0655T","description":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray/ct/ultrsnd et al ord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3319F","description":"X-ray/ct/ultrsnd et al ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24B","description":"HIPPS-CE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fomepizole_ 15 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1451","description":"Fomepizole_ 15 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMW","description":"HIPPS-1AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0679","description":"Non-pneumatic sequential compression garment_ half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78831","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNS","description":"HIPPS-3AHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have a diagnosis of pregnancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9778","description":"Patients who have a diagnosis of pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18D","description":"HIPPS-LC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detach adjust armrest base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0017","description":"Detach adjust armrest base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0270","description":"Alprostadil for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak 4 bar ling w/hydraul swig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5613","description":"Ak 4 bar ling w/hydraul swig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25270","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii high defin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86833","description":"Hla class ii high defin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPS","description":"HIPPS-3AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14B","description":"HIPPS-HC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/addl implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52442","description":"Cystourethro w/addl implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0577","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0577","description":"HCPCS-G0577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4343","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4343","description":"HCPCS-Q4343","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33852","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0575U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0575U","description":"CPT-0575U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63301","description":"Remove vert xdrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31205","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0491","description":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital observation per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0378","description":"Hospital observation per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49429","description":"Removal of shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoro polarize fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83663","description":"Fluoro polarize fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath impl vasc access portal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4300","description":"Cath impl vasc access portal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30420","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m depreotide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9536","description":"Tc99m depreotide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1399","description":"HCPCS-M1399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lap enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83670","description":"Assay of lap enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1334","description":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ Image-Guided_ Robotic_ Waterjet Ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2596","description":"Probe_ Image-Guided_ Robotic_ Waterjet Ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31239","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34C","description":"HIPPS-ES34C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophgl motil w/stim/perfus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91013","description":"Esophgl motil w/stim/perfus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD244","description":"HIPPS-CD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0930T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0930T","description":"CPT-0930T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28I","description":"HIPPS-PA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33859","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5C","description":"HIPPS-RHX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM6","description":"HIPPS-1AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP12","description":"HIPPS-ATP12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntr interr eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306T","description":"Icar ischm mntr interr eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with ligation of sphenopalatine artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31241","description":"Nasal/sinus endoscopy_ surgical; with ligation of sphenopalatine artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvis/hip joint surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27299","description":"Pelvis/hip joint surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK5","description":"HIPPS-5AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0679U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0679U","description":"CPT-0679U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4D","description":"HIPPS-RUX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versitiā¢ Comprehensive Bleeding Disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272U","description":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versitiā¢ Comprehensive Bleeding Disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0636U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0636U","description":"CPT-0636U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures immediat mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5140","description":"Dentures immediat mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12D","description":"HIPPS-BB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic rem appliance tx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8210","description":"Orthodontic rem appliance tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy supfc palmar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64823","description":"Sympathectomy supfc palmar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNV","description":"HIPPS-3AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLX","description":"HIPPS-4AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA105","description":"HIPPS-BA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0711","description":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace cover w/c seat cush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2619","description":"Replace cover w/c seat cush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage ext line_ dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4672","description":"Drainage ext line_ dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33720","description":"Repair of heart defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC206","description":"HIPPS-PC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-explore parathyroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60502","description":"Re-explore parathyroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Cardiac Catheterization Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0622","description":"Hospital Special Treatment Room Support Component (Hstrsc) Cardiac Catheterization Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12A","description":"HIPPS-HE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB23","description":"HIPPS-RHB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ballistocardiogram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3902","description":"Ballistocardiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ motixafortide_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2277","description":"Injection_ motixafortide_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB220","description":"HIPPS-LB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38572","description":"Laparoscopy lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6238","description":"Hydrocolld drg >16<=48 w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86036","description":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1C","description":"HIPPS-RUL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24615","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec lock on manual pw elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6638","description":"Elec lock on manual pw elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2545","description":"Pentamidine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostatic microwave thermotx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53850","description":"Prostatic microwave thermotx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest femoropopliteal vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35572","description":"Harvest femoropopliteal vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1358","description":"Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nikaidoh proc w/ostia implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33783","description":"Nikaidoh proc w/ostia implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc_ l/r_ cmv-neg_ irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9058","description":"Rbc_ l/r_ cmv-neg_ irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant_ including fluoroscopy_ transseptal puncture_ catheter placement(s)_ left atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33340","description":"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant_ including fluoroscopy_ transseptal puncture_ catheter placement(s)_ left atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"removal of implant body not requiring bone removal or flap elevation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6105","description":"removal of implant body not requiring bone removal or flap elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qual card diag prior 12 mons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1460F","description":"Qual card diag prior 12 mons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15A","description":"HIPPS-CE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12B","description":"HIPPS-BA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58270","description":"Vag hyst w/enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor intestine/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44720","description":"Prep donor intestine/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA53","description":"HIPPS-AAA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lifts elevation metal extens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3330","description":"Lifts elevation metal extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1468","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1468","description":"HCPCS-M1468","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close tear system fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68770","description":"Close tear system fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepres rxthxpy not rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4063F","description":"Antidepres rxthxpy not rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69633","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24D","description":"HIPPS-LB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKU","description":"HIPPS-3BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped hospital bed semi/elect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0329","description":"Ped hospital bed semi/elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig neg scrn depres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8510","description":"Pt inelig neg scrn depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame depth less than 22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2203","description":"Frame depth less than 22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ruconest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0596","description":"Injection_ ruconest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL45","description":"HIPPS-RHL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231U","description":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX01","description":"HIPPS-RMX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obinutuzumab inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9301","description":"Obinutuzumab inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMW","description":"HIPPS-3CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil res waiver 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2017","description":"Habil res waiver 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos prev impltbl subq dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33273","description":"Repos prev impltbl subq dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0874T","description":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23800","description":"Fusion of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM3","description":"HIPPS-3CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (ccIIV4)_ derived from cell cultures_ subunit_ preservative and antibiotic free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90674","description":"Influenza virus vaccine_ quadrivalent (ccIIV4)_ derived from cell cultures_ subunit_ preservative and antibiotic free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/fhd w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21160","description":"Lefort iii w/fhd w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23802","description":"Fusion of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL3","description":"HIPPS-2BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19285","description":"Perq dev breast 1st us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue not image intraop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8874","description":"Tissue not image intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compl zift case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4014","description":"Compl zift case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12D","description":"HIPPS-HD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKS","description":"HIPPS-4BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB41","description":"HIPPS-RLB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27848","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-speech device service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92606","description":"Non-speech device service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31237","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone acet inj nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3301","description":"Triamcinolone acet inj nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee Ankle Foot Device_ Any Material_ Single Or Double Upright_ Swing And/Or Stance Phase Microprocessor Control With Adjustability_ Includes All Components (E.G._ Sensors_ Ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2006","description":"Knee Ankle Foot Device_ Any Material_ Single Or Double Upright_ Swing And/Or Stance Phase Microprocessor Control With Adjustability_ Includes All Components (E.G._ Sensors_ Ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical chemistry test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84999","description":"Clinical chemistry test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK3","description":"HIPPS-3AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cranial surg nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21051","description":"Anesth cranial surg nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combo ankle/foot prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5975","description":"Combo ankle/foot prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hh aide or cn aide per visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1021","description":"Hh aide or cn aide per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cogenex Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4229","description":"Cogenex Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain assessment not documented as being performed_ documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8442","description":"Pain assessment not documented as being performed_ documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1708","description":"Pfizer-BioNTech Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01710","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01710","description":"CPT-01710","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0646U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0646U","description":"CPT-0646U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0169","description":"HCPCS-J0169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy excise lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58662","description":"Laparoscopy excise lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81415","description":"Exome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/fb & op scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31531","description":"Laryngoscopy w/fb & op scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Necropsy (autopsy) procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88099","description":"Necropsy (autopsy) procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI fetal sngl/1st gestation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74712","description":"MRI fetal sngl/1st gestation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE206","description":"HIPPS-LE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysins/agglutinins auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86940","description":"Hemolysins/agglutinins auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0943T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0943T","description":"CPT-0943T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic sgd interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2351","description":"Electronic sgd interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of big toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28310","description":"Revision of big toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2A","description":"HIPPS-AAA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxyprogesterone caproate_ not otherwise specified_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1729","description":"Injection_ hydroxyprogesterone caproate_ not otherwise specified_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0605U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0605U","description":"CPT-0605U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68135","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8765","description":"Cataract mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22A","description":"HIPPS-CA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4025","description":"Cast sup hip spica plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE212","description":"HIPPS-HE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0904","description":"HCPCS-A0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t1-2 no progr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9090","description":"Onc dx rectal t1-2 no progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18I","description":"HIPPS-PB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81523","description":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0688T","description":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0661U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0661U","description":"CPT-0661U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27825","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70300","description":"X-ray exam of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18A","description":"HIPPS-BA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69601","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA20","description":"HIPPS-AAA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver queried falls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6080F","description":"Pt/caregiver queried falls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37279","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37279","description":"CPT-37279","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PROTON THERAPY","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77524","description":"PROTON THERAPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg >8min <=20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2502","description":"Sgd prerec msg >8min <=20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9064","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0686U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0686U","description":"CPT-0686U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsv mab im 50mg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90378","description":"Rsv mab im 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/repair hearing aid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69711","description":"Remove/repair hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osseous surgl-3teethperquad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4261","description":"Osseous surgl-3teethperquad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1598","description":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj subclav carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35694","description":"Art trnsposj subclav carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 1.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5560","description":"Insulin reuse pen 1.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE150","description":"HIPPS-LE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14B","description":"HIPPS-ES14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23530","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reas_ no ret or w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9515","description":"No reas_ no ret or w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coping","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2975","description":"Coping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8B","description":"HIPPS-RLB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6235","description":"Hydrocolld drg >16<=48 w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0633U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0633U","description":"CPT-0633U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP1","description":"HIPPS-1CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0063U","description":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21A","description":"HIPPS-CE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64836","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81425","description":"Genome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33971","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med txmnt options rvwd w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4325F","description":"Med txmnt options rvwd w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibio rx w in 10d of sympt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9286","description":"Antibio rx w in 10d of sympt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Natalizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2323","description":"Natalizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18F","description":"HIPPS-CA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts tapered to one-ha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3332","description":"Shoe lifts tapered to one-ha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thumb fusion with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26842","description":"Thumb fusion with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28G","description":"HIPPS-LB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr hip disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5707","description":"Custom shape cvr hip disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNT","description":"HIPPS-3BFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte histamine release","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86343","description":"Leukocyte histamine release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tumors open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0601T","description":"Ire abltj 1+tumors open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8396","description":"Lvef not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R hrt art/grft angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93457","description":"R hrt art/grft angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate conc sol per gal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4706","description":"Bicarbonate conc sol per gal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40% or dep lv sys fcn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8934","description":"Lvef <40% or dep lv sys fcn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 1 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34841","description":"Endovasc visc aorta 1 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert multi-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54405","description":"Insert multi-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj benztropine mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0515","description":"Inj benztropine mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4B","description":"HIPPS-RVL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psysoc rehab svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2018","description":"Psysoc rehab svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC220","description":"HIPPS-PC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenosine inj 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0153","description":"Adenosine inj 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA50","description":"HIPPS-RUA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing patient serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86904","description":"Blood typing patient serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ single chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1722","description":"Aicd_ single chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67420","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC105","description":"HIPPS-PC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26496","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72158","description":"MRI lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit mech ventilator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99504","description":"Home visit mech ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9942","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6097","description":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bleomycin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9040","description":"Bleomycin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0651T","description":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays for bone age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77072","description":"X-rays for bone age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97034","description":"Contrast bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363U","description":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of seton","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46020","description":"Placement of seton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Determines Patient Does Not Require Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0038","description":"Clinician Determines Patient Does Not Require Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 9-10 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95911","description":"Nrv cndj test 9-10 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17280","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reaching/grabbing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9281","description":"Reaching/grabbing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0683T","description":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toe joint transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26556","description":"Toe joint transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC21","description":"HIPPS-RHC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0966T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0966T","description":"CPT-0966T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80344","description":"Antipsychotics nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB53","description":"HIPPS-RLB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloroquine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0390","description":"Chloroquine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE115","description":"HIPPS-HE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0139","description":"HCPCS-J0139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9198","description":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11A","description":"HIPPS-HB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect & appl blood product","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7921","description":"Collect & appl blood product","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acid single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82127","description":"Amino acid single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5648","description":"Above knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC201","description":"HIPPS-PC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41113","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis adsorp/reinfuse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36515","description":"Apheresis adsorp/reinfuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family homecare training 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5110","description":"Family homecare training 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/in 2yr dxa not order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9471","description":"W/in 2yr dxa not order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam/biopsy of vag w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57421","description":"Exam/biopsy of vag w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received active chemotherapy any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1156","description":"Patient received active chemotherapy any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7612","description":"Levalbuterol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15D","description":"HIPPS-PD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17272","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKV","description":"HIPPS-3CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgmdsc w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45350","description":"Sgmdsc w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip socket fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27220","description":"Treat hip socket fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9351","description":"Topotecan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tsi globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84445","description":"Assay of tsi globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL4","description":"HIPPS-2AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24370","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim unattend for press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0281","description":"Elec stim unattend for press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74280","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60521","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doxorubicin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9000","description":"Doxorubicin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35082","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr extnd =4sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4411","description":"Ost skn barr extnd =4sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp pop-tibl-prl-other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35571","description":"Art byp pop-tibl-prl-other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPU","description":"HIPPS-3CHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up/reassessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0316","description":"Follow-up/reassessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and radiotracer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52250","description":"Cystoscopy and radiotracer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61607","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Curette/treat cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65435","description":"Curette/treat cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLU","description":"HIPPS-3CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA113","description":"HIPPS-BA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0C","description":"HIPPS-RUX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocerv curettage w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57456","description":"Endocerv curettage w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES125","description":"HIPPS-ES125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54240","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdomen surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49999","description":"Abdomen surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6980","description":"Bridge repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1102","description":"HCPCS-A1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81513","description":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13C","description":"HIPPS-PC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate liver tumor rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47370","description":"Laparo ablate liver tumor rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rilonacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2793","description":"Rilonacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE220","description":"HIPPS-LE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4421","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4421","description":"HCPCS-Q4421","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28H","description":"HIPPS-LD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1713","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33858","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6505","description":"Cmprsburngarment glove-elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9063","description":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8499","description":"Ra meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for vulva lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56440","description":"Surgery for vulva lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of abdominal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27100","description":"Transfer of abdominal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c 100-129 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3049F","description":"Ldl-c 100-129 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyoscyamine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1980","description":"Hyoscyamine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Es sph augmnt device removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393T","description":"Es sph augmnt device removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cover ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5705","description":"Custom shape cover ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whchr h-duty det arm leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1280","description":"Whchr h-duty det arm leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20902","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE212","description":"HIPPS-CE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 sq in water/salne","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6230","description":"Gauze > 48 sq in water/salne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ue triple control harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6677","description":"Ue triple control harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no 30 day f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9403","description":"Doc reas no 30 day f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24586","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23B","description":"HIPPS-CA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA56","description":"HIPPS-RHA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/3-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34803","description":"Endovas aaa repr w/3-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00625","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00625","description":"CPT-00625","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mlc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87187","description":"Microbe susceptible mlc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood type antigen donor ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86902","description":"Blood type antigen donor ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 52-73 gm prot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4193","description":"Parenteral sol 52-73 gm prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69209","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plaelet rich plasma unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9020","description":"Plaelet rich plasma unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tension ring_ vac erect dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7902","description":"Tension ring_ vac erect dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0505U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0505U","description":"CPT-0505U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bundle of his recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93600","description":"Bundle of his recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88368","description":"Insitu hybridization manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immediate maxillary partial denture - flexible base (including any clasps_ rests and teeth)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5227","description":"Immediate maxillary partial denture - flexible base (including any clasps_ rests and teeth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reteplase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2993","description":"Reteplase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8E","description":"HIPPS-RUA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 300 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5566","description":"Insulin cartridge 300 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No screening performed_ partial screening performed or positive screen without recommendations and reason is not given or otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9921","description":"No screening performed_ partial screening performed or positive screen without recommendations and reason is not given or otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78466","description":"Heart infarct image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86277","description":"Growth hormone antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep dev_ urinary_ w/sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1771","description":"Rep dev_ urinary_ w/sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0808","description":"Pov group 2 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 2 dose adolesc im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90743","description":"Hepb vacc 2 dose adolesc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95165","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bowel lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44111","description":"Excision of bowel lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22852","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unresectab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9107","description":"Onc dx pancreatic unresectab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transition service coordination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7337","description":"Transition service coordination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1040","description":"Medicaid certified community behavioral health clinic services_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab Intravenous Inj 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9989","description":"Ustekinumab Intravenous Inj 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA156","description":"HIPPS-PA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl md cabinet sys 6 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0694","description":"Uvl md cabinet sys 6 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0607","description":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00352","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00352","description":"CPT-00352","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7512","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26392","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mumps antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86735","description":"Mumps antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of neck cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42810","description":"Excision of neck cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal hemoglobin assay qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83033","description":"Fetal hemoglobin assay qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy_ Extended; With Retinal Drawing And Scleral Depression Of Peripheral Retinal Disease (Eg_ For Retinal Tear_ Retinal Detachment_ Retinal Tumor) With Interpretati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92201","description":"Ophthalmoscopy_ Extended; With Retinal Drawing And Scleral Depression Of Peripheral Retinal Disease (Eg_ For Retinal Tear_ Retinal Detachment_ Retinal Tumor) With Interpretati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX60","description":"HIPPS-RUX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0435","description":"Fixed wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4B","description":"HIPPS-RUB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Habil sup empl waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2018","description":"Habil sup empl waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37145","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33724","description":"Repair venous anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM4","description":"HIPPS-2AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27508","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA150","description":"HIPPS-PA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coat/cov w/o del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1877","description":"Stent_ non-coat/cov w/o del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam pituitary saddle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70240","description":"X-ray exam pituitary saddle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Choline c-11_ diagnostic_ per study dose up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9515","description":"Choline c-11_ diagnostic_ per study dose up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0643T","description":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eculizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1300","description":"Eculizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb insulin delivery sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9274","description":"Ext amb insulin delivery sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound therapy pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2402","description":"Neg press wound therapy pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE141","description":"HIPPS-CE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM1","description":"HIPPS-2BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp common ipsi carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35601","description":"Art byp common ipsi carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Care Practitioners Rendering Treatment In Place (Tip)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2021","description":"Health Care Practitioners Rendering Treatment In Place (Tip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc chro sin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9607","description":"Perc d-e cor revasc chro sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - hard appliance_ full arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9944","description":"Occlusal guard - hard appliance_ full arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES135","description":"HIPPS-ES135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert uteri tandem/ovoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57155","description":"Insert uteri tandem/ovoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous carboxyhb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88740","description":"Transcutaneous carboxyhb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoabdominal graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33877","description":"Thoracoabdominal graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0206","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy_ in the home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9128","description":"Speech therapy_ in the home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilat dil retinal exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3000","description":"Bilat dil retinal exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Straight tip urine catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4351","description":"Straight tip urine catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17266","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33257","description":"Ablate atria lmtd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0234","description":"HCPCS-M0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysat sol fld vol > 249cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4720","description":"Dialysat sol fld vol > 249cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21423","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18I","description":"HIPPS-PA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-axilary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35516","description":"Art byp grft subclav-axilary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-specific kinase (MuSK) antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86366","description":"Muscle-specific kinase (MuSK) antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts elevation heel /i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3334","description":"Shoe lifts elevation heel /i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE101","description":"HIPPS-HE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91321","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK6","description":"HIPPS-3BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7177","description":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB13","description":"HIPPS-RLB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10C","description":"HIPPS-PB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC13","description":"HIPPS-RUC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler color flow add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93325","description":"Doppler color flow add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26535","description":"Revise finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11422","description":"Exc h-f-nk-sp b9+marg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88374","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte culture primed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86822","description":"Lymphocyte culture primed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus probe&revrs trns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87498","description":"Enterovirus probe&revrs trns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA05","description":"HIPPS-RUA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lwr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73720","description":"MRI lwr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical ox deliver sys_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0446","description":"Topical ox deliver sys_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig les complicat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7415","description":"Excision malig les complicat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ padded textile_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6606","description":"Gradient compression bandaging supply_ padded textile_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD241","description":"HIPPS-PD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab and hyaluronidase_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9467","description":"Injection_ rituximab and hyaluronidase_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0540U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0540U","description":"CPT-0540U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76811","description":"Ob us detailed sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna hepatitis b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87912","description":"Genotype dna hepatitis b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inter limb compress dev nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0676","description":"Inter limb compress dev nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22D","description":"HIPPS-CC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1036","description":"Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65710","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93244","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436T","description":"Prgrmg eval npgs apnea study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy w/o taper cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44126","description":"Enterectomy w/o taper cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266T","description":"Implt/rpl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63086","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMW","description":"HIPPS-3BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21184","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose & septal fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21335","description":"Open tx nose & septal fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1462","description":"HCPCS-M1462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74270","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bebtelovimab_ 175 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0222","description":"Injection_ bebtelovimab_ 175 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patch legend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4990","description":"Nicotine patch legend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61770","description":"Incise skull for treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diag bronchoscope/catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31643","description":"Diag bronchoscope/catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position seat spec orth need","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T5001","description":"Position seat spec orth need","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress tte complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93351","description":"Stress tte complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head control proximity switc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2330","description":"Head control proximity switc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thumb tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26510","description":"Thumb tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ sculptra_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2028","description":"Inj_ sculptra_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care plan hgb docd esa pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514F","description":"Care plan hgb docd esa pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PelloGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4320","description":"PelloGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets leukoreduced irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9033","description":"Platelets leukoreduced irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37242","description":"Vasc embolize/occlude artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt consid poss risk fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3572F","description":"Pt consid poss risk fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd accessory noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2599","description":"Sgd accessory noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM4","description":"HIPPS-4AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291U","description":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14B","description":"HIPPS-LE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso infant immobilizer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1001","description":"Ctlso infant immobilizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14851","description":"Anesth eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB52","description":"HIPPS-RVB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27033","description":"Exploration of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most favored nation (mfn) model drug add-on amount_ per dose_ (do not bill with line items that have the jw modifier)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1145","description":"Most favored nation (mfn) model drug add-on amount_ per dose_ (do not bill with line items that have the jw modifier)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8576","description":"No postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70250","description":"X-ray exam of skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKU","description":"HIPPS-3AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1244","description":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial preventive exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0402","description":"Initial preventive exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75820","description":"Vein x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5D","description":"HIPPS-RMX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57265","description":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL02","description":"HIPPS-RVL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions 2 to 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11056","description":"Trim skin lesions 2 to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Edetate disodium per 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3520","description":"Edetate disodium per 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ileoscopy_through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6018","description":"Ileoscopy_through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis (KO)_ double upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1852","description":"Knee orthosis (KO)_ double upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC05","description":"HIPPS-RMC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44625","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2215","description":"Lens lenticular bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt neurostim radiofq rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8682","description":"Implt neurostim radiofq rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc t cabg s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9604","description":"Perc d-e cor revasc t cabg s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL2","description":"HIPPS-2CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1104T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1104T","description":"CPT-1104T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54530","description":"Removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9056","description":"Blood_ l/r_ irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microvolt t-wave assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93025","description":"Microvolt t-wave assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9789","description":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2753","description":"Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ spesolimab-sbzo_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1747","description":"Injection_ spesolimab-sbzo_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKV","description":"HIPPS-2BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal vol/count/mot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89320","description":"Semen anal vol/count/mot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX26","description":"HIPPS-RUX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx Flow_ BioSkin Flow_ 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4162","description":"WoundEx Flow_ BioSkin Flow_ 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27786","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29840","description":"Wrist arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA224","description":"HIPPS-CA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77085","description":"Dxa bone density study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice_ inpatient hospital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5005","description":"Hospice_ inpatient hospital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28F","description":"HIPPS-CE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Case management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1016","description":"Case management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0040U","description":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid lined pre one pie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0488","description":"Tlso rigid lined pre one pie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2146","description":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1194","description":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0995T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0995T","description":"CPT-0995T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4024","description":"Pediatrics Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE260","description":"HIPPS-PE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27792","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/lithotripsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52353","description":"Cystouretero w/lithotripsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN3","description":"HIPPS-3AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1202","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1202","description":"CDT-D1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0483","description":"Monitor elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384U","description":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation Supply; Sleeve_ Disposable_ Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4437","description":"Irrigation Supply; Sleeve_ Disposable_ Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology hrt trnspl mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81595","description":"Cardiology hrt trnspl mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo drain lymphocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49323","description":"Laparo drain lymphocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9374","description":"Hit hydra 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42225","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47561","description":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMU","description":"HIPPS-1BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0778T","description":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pouch drainable w barrier at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5061","description":"Pouch drainable w barrier at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25415","description":"Repair radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB07","description":"HIPPS-RVB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine screen for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81007","description":"Urine screen for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair infant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3212","description":"Benesch boot pair infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporin parenteral 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7516","description":"Cyclosporin parenteral 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8G","description":"HIPPS-RHL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81288","description":"Mlh1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA60","description":"HIPPS-RLA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ bupivacaine liposome","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9290","description":"Inj_ bupivacaine liposome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0457","description":"Chest shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4105","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rec ace/arb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8506","description":"Pt rec ace/arb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD110","description":"HIPPS-CD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2108","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj chem pres ajcc iii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8927","description":"Adj chem pres ajcc iii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E3000","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26485","description":"Transplant palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69642","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace foot drop spint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4394","description":"Replace foot drop spint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB52","description":"HIPPS-RMB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A7021","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7021","description":"HCPCS-A7021","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revas w/ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37225","description":"Fem/popl revas w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43832","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue graft firsttooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4277","description":"Soft tissue graft firsttooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ fixed_non-peel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1893","description":"Intro/sheath_ fixed_non-peel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psori tool doc w/benchmk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9649","description":"Psori tool doc w/benchmk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4020","description":"Cast sup lng arm splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0490","description":"Emr pwr source elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4368","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4368","description":"HCPCS-Q4368","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK3","description":"HIPPS-3BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of an implantable_ patient-activated cardiac event recorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33284","description":"Removal of an implantable_ patient-activated cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1427","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1427","description":"HCPCS-M1427","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen probe used w oximeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4606","description":"Oxygen probe used w oximeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0843T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14A","description":"HIPPS-PA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TB screening performed and results interpreted within 12 months prior to initiation of first-time biologic disease modifying an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1003","description":"TB screening performed and results interpreted within 12 months prior to initiation of first-time biologic disease modifying an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9072","description":"Pathogen reduced platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of pylorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43800","description":"Reconstruction of pylorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0917T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0917T","description":"CPT-0917T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1074T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1074T","description":"CPT-1074T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD250","description":"HIPPS-HD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-63032","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63032","description":"CPT-63032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14C","description":"HIPPS-PD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6081","description":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"HCPCS-J0528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0604","description":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES330","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES330","description":"HIPPS-ES330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone a inj prs-free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3300","description":"Triamcinolone a inj prs-free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64760","description":"Incision of vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26432","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57000","description":"Exploration of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cold agglutinin screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86156","description":"Cold agglutinin screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2040","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2040","description":"HCPCS-A2040","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gadopiclenol_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9573","description":"Injection_ gadopiclenol_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9524","description":"I131 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; patient attend/escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2001","description":"N-et; patient attend/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18D","description":"HIPPS-LD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38382","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10A","description":"HIPPS-LC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bath tub rail floor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0242","description":"Bath tub rail floor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj vocal cord bulking agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8607","description":"Inj vocal cord bulking agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toxoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86777","description":"Toxoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK1","description":"HIPPS-5CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pouch w bltinconv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4429","description":"Urine ost pouch w bltinconv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0613","description":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4593","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt adheres guide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9056","description":"Onc prac mgmt adheres guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74410","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86850","description":"Rbc antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMS","description":"HIPPS-2AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 5-6 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98927","description":"Osteopath manj 5-6 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone sodium succ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1720","description":"Hydrocortisone sodium succ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB53","description":"HIPPS-RVB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1741","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1741","description":"HCPCS-C1741","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18I","description":"HIPPS-PD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428U","description":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem endovas vena cava filter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37193","description":"Rem endovas vena cava filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9629","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27724","description":"Repair/graft of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA125","description":"HIPPS-CA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of choroid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67220","description":"Treatment of choroid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of anti-infective_ pain management_ chelation_ pulmonary hypertension_ inotropic_ or other intravenous infusion dr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0088","description":"Professional services_ initial visit_ for the administration of anti-infective_ pain management_ chelation_ pulmonary hypertension_ inotropic_ or other intravenous infusion dr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal fb skin/areolar tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7530","description":"Removal fb skin/areolar tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21261","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lefamulin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0691","description":"Injection_ lefamulin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial defects","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7955","description":"Repair maxillofacial defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01926","description":"CPT-01926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioides antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86635","description":"Coccidioides antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc comm risk calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9317","description":"No doc comm risk calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo <2yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90963","description":"Esrd home pt serv p mo <2yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB116","description":"HIPPS-CB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl vgl arry&pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314T","description":"Laps rmvl vgl arry&pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk knee joints polycentric p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5677","description":"Bk knee joints polycentric p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27391","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric analy w/ph ea spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82930","description":"Gastric analy w/ph ea spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN5","description":"HIPPS-1CFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC56","description":"HIPPS-RUC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov comp bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7240","description":"Impact tooth remov comp bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ non sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1896","description":"Lead_ aicd_ non sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30C","description":"HIPPS-ES30C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Puncture/clear windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31612","description":"Puncture/clear windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiopulmonary exercise testing_ including measurements of minute ventilation_ CO2 production_ O2 uptake_ and electrocardiographic recordings","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94621","description":"Cardiopulmonary exercise testing_ including measurements of minute ventilation_ CO2 production_ O2 uptake_ and electrocardiographic recordings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1343","description":"Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress optic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67570","description":"Decompress optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES240","description":"HIPPS-ES240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12A","description":"HIPPS-CA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid monaural in ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5050","description":"Hearing aid monaural in ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL07","description":"HIPPS-RVL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1071","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5B","description":"HIPPS-RUA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36583","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLX","description":"HIPPS-4BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL1","description":"HIPPS-3CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-1 piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21145","description":"Lefort i-1 piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE116","description":"HIPPS-LE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLT","description":"HIPPS-3BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleep study unatt&resp efft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95806","description":"Sleep study unatt&resp efft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt cat/pn cat/hist grd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3260F","description":"Pt cat/pn cat/hist grd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB256","description":"HIPPS-BB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB35","description":"HIPPS-RHB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60270","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy snare les remv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43217","description":"Esophagoscopy snare les remv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL4","description":"HIPPS-1CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty_ medialization_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31591","description":"Laryngoplasty_ medialization_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gear reduction drive wheel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2227","description":"Gear reduction drive wheel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4A","description":"HIPPS-AAA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct entire forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21179","description":"Reconstruct entire forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macul result phy/qhp mng dm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5010F","description":"Macul result phy/qhp mng dm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tiss ex molecul study add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88388","description":"Tiss ex molecul study add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24C","description":"HIPPS-CB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA16","description":"HIPPS-RMA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv types 16 & 18 only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87625","description":"Hpv types 16 & 18 only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3929","description":"Hfo nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ahi or rdi initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8842","description":"Ahi or rdi initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee hydracadence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5610","description":"Above knee hydracadence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehab w exer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0424","description":"Pulmonary rehab w exer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18D","description":"HIPPS-PA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97035","description":"Ultrasound therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax stereo rad targetw/tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32701","description":"Thorax stereo rad targetw/tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr fluor image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054T","description":"Bone srgry cmptr fluor image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat forearm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25035","description":"Treat forearm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28C","description":"HIPPS-PA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC221","description":"HIPPS-HC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64784","description":"Remove nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vacc no prsv 6-35 m im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90685","description":"Iiv4 vacc no prsv 6-35 m im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anacaulase-bcdb_ 8.8% gel_ 1 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7353","description":"Anacaulase-bcdb_ 8.8% gel_ 1 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular photodynamic ther","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67221","description":"Ocular photodynamic ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB241","description":"HIPPS-PB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0138U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ amplified probe techniq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0005","description":"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ amplified probe techniq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLS","description":"HIPPS-3BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63016","description":"Remove spine lamina >2 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1291","description":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0652","description":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3B","description":"HIPPS-RHA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37263","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37263","description":"CPT-37263","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0406","description":"Inpt/tele follow up 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surgery complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66982","description":"Cataract surgery complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fungi identification mold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87107","description":"Fungi identification mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac art angio_cardiac cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0278","description":"Iliac art angio_cardiac cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety counseling dem order","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6102F","description":"Safety counseling dem order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0207","description":"Traumatic brain injury with Motor <22.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise/repair mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40814","description":"Excise/repair mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ do","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0078","description":"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88147","description":"Cytopath c/v automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47600","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palate/uvula surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42299","description":"Palate/uvula surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin complex concentrate (human)_ kcentra_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7168","description":"Prothrombin complex concentrate (human)_ kcentra_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitochondrial gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81440","description":"Mitochondrial gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk removable medial brim sus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5672","description":"Bk removable medial brim sus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device without flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7300","description":"Removal of temporary anchorage device without flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368U","description":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44145","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe caliper plate new","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3610","description":"Trans shoe caliper plate new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1014","description":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calibrator solution/chips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4256","description":"Calibrator solution/chips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4C","description":"HIPPS-RUC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srsf2 (Serine And Arginine-Rich Splicing Factor 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ P95H_ P95L)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81348","description":"Srsf2 (Serine And Arginine-Rich Splicing Factor 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ P95H_ P95L)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75978","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23A","description":"HIPPS-CB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrpulmnry percuss vent sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0481","description":"Intrpulmnry percuss vent sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each addtnl prefab post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2957","description":"Each addtnl prefab post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55821","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addl neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22552","description":"Addl neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE244","description":"HIPPS-CE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us guide intraop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76998","description":"Us guide intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath fl nongyn smears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88104","description":"Cytopath fl nongyn smears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5256","description":"Hearing aid_ digit_ mon_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28605","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72190","description":"X-ray exam of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29015","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN6","description":"HIPPS-3AHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86258","description":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1084T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1084T","description":"CPT-1084T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of arm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23930","description":"Drainage of arm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 2 spaces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25025","description":"Decompress forearm 2 spaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE205","description":"HIPPS-HE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell enumeration & id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86152","description":"Cell enumeration & id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 2 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64491","description":"Inj paravert f jnt c/t 2 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23A","description":"HIPPS-CA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of jaw nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64738","description":"Incision of jaw nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96167","description":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26490","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forearm or wrist surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25999","description":"Forearm or wrist surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Receiving Palliative Care During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0034","description":"Patients Receiving Palliative Care During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic Examination_ Esophagus_ Including Scout Chest Radiograph(S) And Delayed Image(S)_ When Performed; Double-Contrast (Eg_ High-Density Barium And Effervescent Agent) S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74221","description":"Radiologic Examination_ Esophagus_ Including Scout Chest Radiograph(S) And Delayed Image(S)_ When Performed; Double-Contrast (Eg_ High-Density Barium And Effervescent Agent) S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Path rprt w/ pt pn cat et al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3267F","description":"Path rprt w/ pt pn cat et al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excis uppr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21049","description":"Excis uppr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA13","description":"HIPPS-RUA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch forearm pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0110","description":"Crutch forearm pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65426","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of hymen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56700","description":"Partial removal of hymen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5646","description":"Below knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral/facial photo images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0350","description":"Oral/facial photo images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ceruloplasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82390","description":"Assay of ceruloplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor &/ sens nrve cndj test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95905","description":"Motor &/ sens nrve cndj test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19371","description":"Removal of breast capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extension per extension per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2760","description":"Extension per extension per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare sperm duct x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55300","description":"Prepare sperm duct x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject l ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93565","description":"Inject l ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp iliorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35634","description":"Art byp iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-aafi_ biosimilar_ (Nivestym)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5110","description":"Injection_ filgrastim-aafi_ biosimilar_ (Nivestym)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL5","description":"HIPPS-1CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory heart surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33310","description":"Exploratory heart surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50574","description":"Kidney endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneuma/vac walk boot pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4361","description":"Pneuma/vac walk boot pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES321","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES321","description":"HIPPS-ES321","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intracorporeal device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33980","description":"Remove intracorporeal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3392","description":"HCPCS-J3392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6607","description":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1 mic or T1a documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9704","description":"AJCC breast cancer stage I: T1 mic or T1a documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75557","description":"Cardiac MRI for morph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37285","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37285","description":"CPT-37285","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8014","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8014","description":"HCPCS-C8014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of a periimplant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6101","description":"Debridement of a periimplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray nose to rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76010","description":"X-ray nose to rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthr0 w/debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29862","description":"Hip arthr0 w/debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMU","description":"HIPPS-2CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67314","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex lymphedema therapy_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8950","description":"Complex lymphedema therapy_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valrubicin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9357","description":"Valrubicin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mech stance ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5716","description":"Knee-shin exo mech stance ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE151","description":"HIPPS-LE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0666U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0666U","description":"CPT-0666U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3809","description":"Whfo w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB46","description":"HIPPS-RMB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger)_ including ultrasound guidance_ when performed_ unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger)_ including ultrasound guidance_ when performed_ unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13152","description":"Cmplx rpr e/n/e/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophilic toric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2521","description":"Cntct lens hydrophilic toric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 xtra hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0828","description":"Pwc gp 2 xtra hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for sacroiliac joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0259","description":"Inject for sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKT","description":"HIPPS-1AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00740","description":"CPT-00740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19125","description":"Excision breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autotransplant parathyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60512","description":"Autotransplant parathyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amiodarone hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0282","description":"Amiodarone hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD215","description":"HIPPS-PD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX15","description":"HIPPS-RMX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interv req for leak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9306","description":"Interv req for leak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50240","description":"Partial removal of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96130","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54522","description":"Orchiectomy partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9893","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50065","description":"Incision of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78430","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01996","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01996","description":"CPT-01996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0962T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0962T","description":"CPT-0962T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2640","description":"Brachytx_ stranded_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL2","description":"HIPPS-2BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33503","description":"Coronary artery graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"implant/abutment supported interim fixed denture for edentulous arch - mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6118","description":"implant/abutment supported interim fixed denture for edentulous arch - mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB05","description":"HIPPS-RMB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ any specimen source","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2023","description":"Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ any specimen source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23675","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74251","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99239","description":"Hospital discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj shoulder ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1840","description":"Adj shoulder ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97170","description":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00454","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00454","description":"CPT-00454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residual limb support system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1020","description":"Residual limb support system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21C","description":"HIPPS-CE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28E","description":"HIPPS-LC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has an active diagnosis of depression or has diagnosed bipolar disorder_ therefore screening or follow-up not required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9717","description":"Documentation stating the patient has an active diagnosis of depression or has diagnosed bipolar disorder_ therefore screening or follow-up not required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine maleate 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0164","description":"Prochlorperazine maleate 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1901","description":"HCPCS-A1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50690","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87510","description":"Gardner vag dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18A","description":"HIPPS-HC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urinary leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53080","description":"Drainage of urinary leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32_ 33_ 34_ 54_ or 56 for more than 90 consecutive days during","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1284","description":"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32_ 33_ 34_ 54_ or 56 for more than 90 consecutive days during","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52300","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal abscess open drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50020","description":"Renal abscess open drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB105","description":"HIPPS-HB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit noc per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9379","description":"Hit noc per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC135","description":"HIPPS-LC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM2","description":"HIPPS-1CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy abdom complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58146","description":"Myomectomy abdom complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back school visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9117","description":"Back school visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcitrol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0169","description":"Calcitrol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27707","description":"Incision of fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMW","description":"HIPPS-1AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vaccine 3 yrs plus im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90688","description":"Iiv4 vaccine 3 yrs plus im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine or metabolite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6044","description":"Cocaine or metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2699","description":"Brachytx_ non-stranded_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I125 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9532","description":"I125 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol (ethanol); any specimen except breath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6040","description":"Alcohol (ethanol); any specimen except breath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1467","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1467","description":"HCPCS-M1467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atten d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9167","description":"Atten d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3003","description":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75840","description":"Vein x-ray adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23552","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB01","description":"HIPPS-RHB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58660","description":"Laparoscopy lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7174","description":"HCPCS-J7174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374T","description":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0087","description":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro-Enterology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4006","description":"Gastro-Enterology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1702","description":"HCPCS-B1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w/ leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1222","description":"Wheelchair spec size w/ leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NuDYN SL or NuDYN SLW_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4286","description":"NuDYN SL or NuDYN SLW_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5938","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5938","description":"CDT-D5938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12D","description":"HIPPS-LB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11312","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj paracervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64435","description":"N block inj paracervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51940","description":"Correction of bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharm dx agent noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4641","description":"Radiopharm dx agent noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep c rna done prior to med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9203","description":"Hep c rna done prior to med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parvovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86747","description":"Parvovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93356","description":"Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35D","description":"HIPPS-ES35D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1018T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1018T","description":"CPT-1018T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL12","description":"HIPPS-RUL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC201","description":"HIPPS-CC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforced solid stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2260","description":"Reinforced solid stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vulva lesion/s compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56515","description":"Destroy vulva lesion/s compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0205","description":"HCPCS-C0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1441","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1441","description":"HCPCS-M1441","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0677U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0677U","description":"CPT-0677U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA25","description":"HIPPS-RMA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduct rotation bar w/o shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3150","description":"Abduct rotation bar w/o shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9038","description":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE131","description":"HIPPS-CE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx orbit w/manipulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21401","description":"Closed tx orbit w/manipulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC32","description":"HIPPS-RHC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298U","description":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9901","description":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ imm glob bivigam_ 500mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1556","description":"Inj_ imm glob bivigam_ 500mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatobiliary system imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78226","description":"Hepatobiliary system imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56740","description":"Remove vagina gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pt cat and pt1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9431","description":"No pt cat and pt1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP5","description":"HIPPS-1BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23D","description":"HIPPS-CD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental saliography","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0310","description":"Dental saliography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC154","description":"HIPPS-CC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy revise stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31638","description":"Bronchoscopy revise stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67101","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85018","description":"Hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00450","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00450","description":"CPT-00450","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"HCPCS-L6037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rubella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86762","description":"Rubella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73620","description":"X-ray exam of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0613U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0613U","description":"CPT-0613U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK6","description":"HIPPS-5CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE105","description":"HIPPS-HE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject/aspirate liver cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47015","description":"Inject/aspirate liver cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ranitidine hydrochloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2780","description":"Ranitidine hydrochloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Buprenorphine (Oral); Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2079","description":"Take-Home Supply Of Buprenorphine (Oral); Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4438","description":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal 4.00d/.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2203","description":"Lens sphcyl bifocal 4.00d/.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63075","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0080U","description":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine; scoliosis study_ including supine and erect studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72090","description":"Radiologic examination_ spine; scoliosis study_ including supine and erect studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4341","description":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28436","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental coronoidectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7991","description":"Dental coronoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1300","description":"Whirlpool portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX43","description":"HIPPS-RHX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1088","description":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3B","description":"HIPPS-RMA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28B","description":"HIPPS-LD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0676T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ std","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4087","description":"Gastro/jejuno tube_ std","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval aud status rehab add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92627","description":"Eval aud status rehab add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic prop tire tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2212","description":"Pneumatic prop tire tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6071","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmptr ophth img optic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92133","description":"Cmptr ophth img optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther injection carp tunnel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20526","description":"Ther injection carp tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"marsupialization of odontogenic cyst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7509","description":"marsupialization of odontogenic cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20B","description":"HIPPS-LC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (list separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37250","description":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (list separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27407","description":"Repair of knee ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC20","description":"HIPPS-RMC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd in remission","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3092F","description":"Mdd in remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0666","description":"Pneumatic appliance half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL40","description":"HIPPS-RUL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70330","description":"X-ray exam of jaw joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34201","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric stimulation therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97014","description":"Electric stimulation therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eptifibatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1327","description":"Eptifibatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell >=15% (hiv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3498F","description":"Cd4+ cell >=15% (hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screw retained plate","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7292","description":"Screw retained plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical placement: zygomatic implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7994","description":"Surgical placement: zygomatic implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12044","description":"Intmd rpr n-hf/genit7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86787","description":"Varicella-zoster antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14A","description":"HIPPS-HC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv unl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338T","description":"Trnscth renal symp denrv unl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kanamycin sulfate 75 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1850","description":"Kanamycin sulfate 75 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20220","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagosc dilate balloon 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43214","description":"Esophagosc dilate balloon 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9365","description":"Hit tpn 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9494","description":"Hit antibiotic total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMU","description":"HIPPS-4CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35286","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22A","description":"HIPPS-LE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43886","description":"Revise gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat uterus infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59830","description":"Treat uterus infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0937T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0937T","description":"CPT-0937T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1025","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1083","description":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66984","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix recombinan rixubis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7200","description":"Factor ix recombinan rixubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275T","description":"Perq lamot/lam lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0001","description":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32999","description":"Chest surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48148","description":"Removal of pancreatic duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA125","description":"HIPPS-PA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy_ shoulder_ surgical; with implantation of subacromial spacer (e.g._ balloon)_ includes debridement (e.g._ limited or extensive)_ subacromial decompression_ acromio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9781","description":"Arthroscopy_ shoulder_ surgical; with implantation of subacromial spacer (e.g._ balloon)_ includes debridement (e.g._ limited or extensive)_ subacromial decompression_ acromio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg >16 <=48 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6252","description":"Absorpt drg >16 <=48 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1474","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1474","description":"HCPCS-M1474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain fused base m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2751","description":"Crown porcelain fused base m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE205","description":"HIPPS-CE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37260","description":"CPT-37260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49188","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49188","description":"CPT-49188","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1220","description":"Anterior thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD246","description":"HIPPS-PD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea sensing ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433T","description":"Repos nstim apnea sensing ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph imped funct test > 1hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91038","description":"Esoph imped funct test > 1hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL2","description":"HIPPS-3CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92653","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JR GNOTYP ABCG2 EXONS 2-26","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0193U","description":"JR GNOTYP ABCG2 EXONS 2-26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB40","description":"HIPPS-RUB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4032","description":"Cast sup lng leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67850","description":"Treat eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15D","description":"HIPPS-LB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK4","description":"HIPPS-1CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA05","description":"HIPPS-RMA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466U","description":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE240","description":"HIPPS-CE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX43","description":"HIPPS-RMX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zaire ebolavirus vaccine_ live_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90758","description":"Zaire ebolavirus vaccine_ live_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Female patients unable to bear children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1016","description":"Female patients unable to bear children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63283","description":"Bx/exc idrl spine lesn scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLT","description":"HIPPS-1BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLV","description":"HIPPS-1AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy_ laryngofissure)_ with removal of tumor or laryngocele_ cordectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31300","description":"Laryngotomy (thyrotomy_ laryngofissure)_ with removal of tumor or laryngocele_ cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo w/ankle joint_ prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1971","description":"Afo w/ankle joint_ prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vkorc1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81355","description":"Vkorc1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply long arm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29105","description":"Apply long arm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0892T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0671T","description":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKS","description":"HIPPS-4AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX44","description":"HIPPS-RUX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone sinus implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1090","description":"Mometasone sinus implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95144","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt simple w/o comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77520","description":"Proton trmt simple w/o comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv cancer screen docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3015F","description":"Cerv cancer screen docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9002","description":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM2","description":"HIPPS-4CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX46","description":"HIPPS-RHX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov soft tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7220","description":"Impact tooth remov soft tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath intracranial art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36228","description":"Place cath intracranial art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/2-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34802","description":"Endovas aaa repr w/2-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) sent from the pathologist/dermatopathologist to the biopsyin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9785","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) sent from the pathologist/dermatopathologist to the biopsyin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlordiazepoxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1990","description":"Chlordiazepoxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0696U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0696U","description":"CPT-0696U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactoferrin fecal (quant)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83631","description":"Lactoferrin fecal (quant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt talk psychsoc&rx oh dpnd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4320F","description":"Pt talk psychsoc&rx oh dpnd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN6","description":"HIPPS-1BFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0877T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK3","description":"HIPPS-5BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2D","description":"HIPPS-RLX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epi etiol synd rvwd and docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1205F","description":"Epi etiol synd rvwd and docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94777","description":"Ped home apnea rec report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso a-p-l control molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0700","description":"Ctlso a-p-l control molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct inverted nipple(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19355","description":"Correct inverted nipple(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4C","description":"HIPPS-RUA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder blade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23400","description":"Fixation of shoulder blade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25660","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete cbc automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85027","description":"Complete cbc automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1019F","description":"Assess dyspnea present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory function + 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92621","description":"Auditory function + 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0536","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0536","description":"HCPCS-G0536","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an ade","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9733","description":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an ade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair brow defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67900","description":"Repair brow defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hallux implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8642","description":"Hallux implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular part denture flex","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5226","description":"Mandibular part denture flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273U","description":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33681","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta non esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0888","description":"Epoetin beta non esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression gauntlet_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6582","description":"Gradient compression gauntlet_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0700T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold doub splt soc ste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6120","description":"Elbow mold doub splt soc ste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9033","description":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fr frz plasma donor retested","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9060","description":"Fr frz plasma donor retested","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65765","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX32","description":"HIPPS-RLX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth w/rmvl&insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0617T","description":"Insj iris prosth w/rmvl&insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porcelin 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2642","description":"Dental onlay porcelin 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK3","description":"HIPPS-3AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirometry up to 2 yrs old","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94011","description":"Spirometry up to 2 yrs old","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47555","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0237","description":"HCPCS-Q0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care in home rn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9123","description":"Nursing care in home rn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67412","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received bone marrow transplant any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1157","description":"Patient received bone marrow transplant any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9986","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ hla-m_ l/r_ unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9052","description":"Platelets_ hla-m_ l/r_ unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLW","description":"HIPPS-2BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.5 cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11400","description":"Exc tr-ext b9+marg 0.5 cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD225","description":"HIPPS-PD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1176","description":"Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4C","description":"HIPPS-RVX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84153","description":"Assay of psa total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate (Jylamvo)_ oral_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8611","description":"Methotrexate (Jylamvo)_ oral_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rolapitant_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9464","description":"Injection_ rolapitant_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart-vein defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33732","description":"Repair heart-vein defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33933","description":"Prepare donor heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10B","description":"HIPPS-BB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8994","description":"Sub pt/ot goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18B","description":"HIPPS-LB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC255","description":"HIPPS-LC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX03","description":"HIPPS-RMX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24635","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1033","description":"Nonpneumatic sequential compression garment_ half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt no ther chg or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9650","description":"Doc pt no ther chg or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus aug w bone/bone sup","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7951","description":"Sinus aug w bone/bone sup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14A","description":"HIPPS-ES14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-51721","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51721","description":"CPT-51721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31231","description":"Nasal endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphenhydramine hcl injectio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1200","description":"Diphenhydramine hcl injectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor IX_ albumin fusion protein_ (recombinant)_ Idelvion_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7202","description":"Injection_ factor IX_ albumin fusion protein_ (recombinant)_ Idelvion_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15C","description":"HIPPS-LC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aac non-electronic board","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1902","description":"Aac non-electronic board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-px pacemaker device evl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93286","description":"Peri-px pacemaker device evl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3A","description":"HIPPS-RUC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM3","description":"HIPPS-4BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3387","description":"HCPCS-J3387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oocyte identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89254","description":"Oocyte identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/renal stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52343","description":"Cysto w/renal stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7499","description":"Upper extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKV","description":"HIPPS-1CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd for bar w lk fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4420","description":"Ost pch clsd for bar w lk fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 visit p mo <2yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90953","description":"Esrd serv 1 visit p mo <2yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Trivisc_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7329","description":"Hyaluronan or derivative_ Trivisc_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zoledronic acid 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3489","description":"Zoledronic acid 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB105","description":"HIPPS-CB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4021","description":"Orthopedic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN5","description":"HIPPS-1CHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DermaBind FM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4313","description":"DermaBind FM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4415","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4415","description":"HCPCS-Q4415","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22844","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15100","description":"Skin splt grft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile duct endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74328","description":"X-ray bile duct endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP RHD1-10&RHCE5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198U","description":"RHD&RHCE GNTYP RHD1-10&RHCE5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0016","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobilize erupted/malpos toot","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7282","description":"Mobilize erupted/malpos toot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7562","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7562","description":"HCPCS-C7562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14D","description":"HIPPS-PE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin symp vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1004F","description":"Clin symp vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93017","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip bone les deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27066","description":"Remove hip bone les deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunofix e-phoresis serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86334","description":"Immunofix e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18F","description":"HIPPS-PB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22A","description":"HIPPS-HC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ CROS_ behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5180","description":"Hearing aid_ CROS_ behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration_ edentulous area - non-resorbable barrier_ per site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7957","description":"guided tissue regeneration_ edentulous area - non-resorbable barrier_ per site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18F","description":"HIPPS-HD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0924T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0924T","description":"CPT-0924T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0584U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0584U","description":"CPT-0584U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD211","description":"HIPPS-LD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telescop/othr compound lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2615","description":"Telescop/othr compound lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fistula w/colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45805","description":"Repair fistula w/colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth consultation_ critical care_ initial_ physicians typically spend 60 minutes communicating with the patient and providers via telehealth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0508","description":"Telehealth consultation_ critical care_ initial_ physicians typically spend 60 minutes communicating with the patient and providers via telehealth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8F","description":"HIPPS-RVX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5654","description":"Socket insert symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrinsic factor antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86340","description":"Intrinsic factor antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC236","description":"HIPPS-PC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50900","description":"Repair of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB20","description":"HIPPS-RLB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52281","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35266","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKW","description":"HIPPS-3AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2C","description":"HIPPS-RVC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate sz 30+ day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386T","description":"Ex h rate sz 30+ day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentur repr broken compl bas","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5510","description":"Dentur repr broken compl bas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4C","description":"HIPPS-RMA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abobotulinumtoxina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0586","description":"Abobotulinumtoxina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLV","description":"HIPPS-3BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85004","description":"Automated diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Yersinia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86793","description":"Yersinia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2980","description":"Crown repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25274","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC36","description":"HIPPS-RVC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc 2x re-assess filt remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9543","description":"Doc 2x re-assess filt remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC stage at breast cancer diagnosis = I (Ia or Ib) and T-stage at breast cancer diagnosis does not equal = T1_ T1a_ T1b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9832","description":"AJCC stage at breast cancer diagnosis = I (Ia or Ib) and T-stage at breast cancer diagnosis does not equal = T1_ T1a_ T1b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6504","description":"Cmprsburngarment glove-wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pseudoaneurysm injection trt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36002","description":"Pseudoaneurysm injection trt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14A","description":"HIPPS-CC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLW","description":"HIPPS-2CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methylprednisolone acetate_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1010","description":"Injection_ methylprednisolone acetate_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Breast Diagnostic Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0619","description":"Hospital Special Treatment Room Support Component (Hstrsc) Breast Diagnostic Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70496","description":"Ct angiography head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whelchr fxd full length arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1050","description":"Whelchr fxd full length arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0659","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0659","description":"HCPCS-E0659","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut fixed dent part max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6116","description":"Imp/abut fixed dent part max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9601","description":"HCPCS-J9601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28515","description":"Treatment of toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC146","description":"HIPPS-CC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diazepam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3360","description":"Diazepam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN5","description":"HIPPS-3CGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd cortico >=10mg/day >60d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9467","description":"Recd cortico >=10mg/day >60d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Child sitting services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1009","description":"Child sitting services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20B","description":"HIPPS-PA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair hvy duty detach a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1290","description":"Wheelchair hvy duty detach a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMT","description":"HIPPS-1BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck organ 1yr/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32051","description":"Anesth neck organ 1yr/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8A","description":"HIPPS-RUB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1006","description":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267T","description":"Implt/rpl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suture large intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44604","description":"Suture large intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylergonovin maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2210","description":"Methylergonovin maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3471F","description":"Ra disease activity mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemagglutination inhibition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86280","description":"Hemagglutination inhibition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen_ neuro_ hf_ rechg bat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1822","description":"Gen_ neuro_ hf_ rechg bat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9743","description":"Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sargramostim injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2820","description":"Sargramostim injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33676","description":"Close mult vsd w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0724T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51860","description":"Repair of bladder wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total hip resurfacing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2118","description":"Total hip resurfacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24685","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen imp urinary 2.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8603","description":"Collagen imp urinary 2.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26437","description":"Realignment of tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Male sling procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53440","description":"Male sling procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00928","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00928","description":"CPT-00928","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37256","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37256","description":"CPT-37256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair cast partial framework_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5621","description":"repair cast partial framework_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic activities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97530","description":"Therapeutic activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB246","description":"HIPPS-LB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0049","description":"Alcohol/drug screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0675T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect shoulder tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23078","description":"Resect shoulder tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered air mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0372","description":"Powered air mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6031","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6031","description":"HCPCS-L6031","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430U","description":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38305","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematocrit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85014","description":"Hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27357","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognitive skills development","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97532","description":"Cognitive skills development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63090","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14A","description":"HIPPS-CE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKU","description":"HIPPS-2CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB160","description":"HIPPS-PB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pcp proph low cd4 norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9217","description":"No pcp proph low cd4 norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal biophys profil w/o nst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76819","description":"Fetal biophys profil w/o nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC11","description":"HIPPS-RHC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ intraoperative thoracic aorta (eg_ epiaortic)_ diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76984","description":"Ultrasound_ intraoperative thoracic aorta (eg_ epiaortic)_ diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC226","description":"HIPPS-LC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture belly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35122","description":"Repair artery rupture belly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80143","description":"Acetaminophen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas non-cardiac abl cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1888","description":"Endovas non-cardiac abl cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia interven rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4526F","description":"Neuropsychia interven rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310U","description":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore and drain kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50125","description":"Explore and drain kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01999","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01999","description":"CPT-01999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0502","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62180","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver counsel safety","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6090F","description":"Pt/caregiver counsel safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ropivacaine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2795","description":"Ropivacaine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43212","description":"Esophagoscop stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14C","description":"HIPPS-LB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29861","description":"Hip arthro w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Precision attachment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5862","description":"Precision attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat 65+ yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99397","description":"Per pm reeval est pat 65+ yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12A","description":"HIPPS-CD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28220","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj beta interferon im 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3027","description":"Inj beta interferon im 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78830","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0535","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0535","description":"HCPCS-G0535","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0638T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0555U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0555U","description":"CPT-0555U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0604U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0604U","description":"CPT-0604U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92632","description":"CPT-92632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL3","description":"HIPPS-4BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC211","description":"HIPPS-HC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduct control hip semi-flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1630","description":"Abduct control hip semi-flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKW","description":"HIPPS-3CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu vacc iiv3 no preserv id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90654","description":"Flu vacc iiv3 no preserv id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33977","description":"Remove ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8E","description":"HIPPS-RLX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKU","description":"HIPPS-1CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28415","description":"Treat heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31603","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL33","description":"HIPPS-RHL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11B","description":"HIPPS-PD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0526","description":"Management of established patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2D","description":"HIPPS-AAA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles compound lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92355","description":"Fit spectacles compound lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antid glbln rcvd w/in 26wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4178F","description":"Antid glbln rcvd w/in 26wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA105","description":"HIPPS-PA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD201","description":"HIPPS-PD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte immune globulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7504","description":"Lymphocyte immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oversize lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2780","description":"Oversize lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB41","description":"HIPPS-RVB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0434","description":"Portable liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66150","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19304","description":"Mast subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radial keratotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65771","description":"Radial keratotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp multiplane ext fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20696","description":"Comp multiplane ext fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109T","description":"Heat quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver/arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47147","description":"Prep donor liver/arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen amphetamines 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80324","description":"Drug screen amphetamines 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloramphenicol sodium injec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0720","description":"Chloramphenicol sodium injec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New lenses in pts old frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0595","description":"New lenses in pts old frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optx thigh fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27269","description":"Optx thigh fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13C","description":"HIPPS-PA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0667T","description":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7669","description":"Metaproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55600","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tocilizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3262","description":"Tocilizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create tear sac drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68720","description":"Create tear sac drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Receiver/transmitter_ neuro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1816","description":"Receiver/transmitter_ neuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12013","description":"Rpr f/e/e/n/l/m 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1119","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87184","description":"Microbe susceptible disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forceps esoph biopsy done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3150F","description":"Forceps esoph biopsy done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25449","description":"Remove wrist joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not calculated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8421","description":"Bmi not calculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acylcarnitines qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82016","description":"Acylcarnitines qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKU","description":"HIPPS-1AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36012","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83051","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1267","description":"Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow molded w/ expand inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6205","description":"Elbow molded w/ expand inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvas resp support talk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4550F","description":"Noninvas resp support talk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient discharged alive following endovascular AAA repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9263","description":"Documentation of patient discharged alive following endovascular AAA repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0910T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0910T","description":"CPT-0910T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit day life activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99509","description":"Home visit day life activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB55","description":"HIPPS-RMB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 75 or older on their initiation of dialysis date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1264","description":"Patients age 75 or older on their initiation of dialysis date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL2","description":"HIPPS-4CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61585","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93018","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC60","description":"HIPPS-RVC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21461","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0B","description":"HIPPS-RLA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18F","description":"HIPPS-PE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bendamustine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9033","description":"Bendamustine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9913","description":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0480","description":"Cytopath smear prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525F","description":"Initial visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2787","description":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK1","description":"HIPPS-1BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM2","description":"HIPPS-3CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density axial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77080","description":"Dxa bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB24","description":"HIPPS-RVB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daprodustat_ oral_ 1 mg_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0889","description":"Daprodustat_ oral_ 1 mg_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4613","description":"Battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1077T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1077T","description":"CPT-1077T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport lodgng recip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0180","description":"Noner transport lodgng recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD205","description":"HIPPS-LD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lab pathology consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80500","description":"Lab pathology consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL1","description":"HIPPS-2BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repeat control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30906","description":"Repeat control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5B","description":"HIPPS-RMA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP1","description":"HIPPS-3CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4339","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4339","description":"HCPCS-Q4339","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18C","description":"HIPPS-BB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl press monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293T","description":"Ins lt atrl press monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0527","description":"Management of established patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK5","description":"HIPPS-4AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative assay drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80299","description":"Quantitative assay drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist endoscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29848","description":"Wrist endoscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459T","description":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM5","description":"HIPPS-1BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01522","description":"CPT-01522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8657","description":"Fun stat score le pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27202","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heroin metabolite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80356","description":"Heroin metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25685","description":"Treat wrist fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1333","description":"Acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB26","description":"HIPPS-RUB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131_ Iobenguane_ 1 Millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9590","description":"Iodine I-131_ Iobenguane_ 1 Millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA15","description":"HIPPS-RHA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43113","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL3","description":"HIPPS-3CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc arm/elbow les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24075","description":"Exc arm/elbow les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty walker no wheels","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0148","description":"Heavyduty walker no wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tebentafusp-tebn_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9095","description":"Injection_ tebentafusp-tebn_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum w/innom bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27077","description":"Resect hip tum w/innom bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 21-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99448","description":"Interprof phone/online 21-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4307","description":"American amnion_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4380","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4380","description":"HCPCS-Q4380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01960","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01960","description":"CPT-01960","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15A","description":"HIPPS-HB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant semi-imp hear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2230","description":"Implant semi-imp hear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36415","description":"Routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1301","description":"HCPCS-C1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0534U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0534U","description":"CPT-0534U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28555","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD150","description":"HIPPS-PD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77786","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years And Older With A Diagnosis Of Frailty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2131","description":"Patients 81 Years And Older With A Diagnosis Of Frailty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3C","description":"HIPPS-RUC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1221","description":"Wheelchair spec size w foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5922","description":"Nasal septal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27040","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB250","description":"HIPPS-HB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)ābased antimicrobial susceptibility for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311U","description":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)ābased antimicrobial susceptibility for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44372","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nocardia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86744","description":"Nocardia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM5","description":"HIPPS-4AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental tmj arthrogram incl i","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0320","description":"Dental tmj arthrogram incl i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect recurrent gyn mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58957","description":"Resect recurrent gyn mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7214","description":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26860","description":"Fusion of finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood platelet aggregation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85576","description":"Blood platelet aggregation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current percep threshold tst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0255","description":"Current percep threshold tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLV","description":"HIPPS-3AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclr rx interstit colloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79300","description":"Nuclr rx interstit colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2174","description":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8489","description":"Cad measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of leg at hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27290","description":"Amputation of leg at hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert_ disp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5265","description":"Ear mold/insert_ disp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar artif diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22857","description":"Lumbar artif diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMS","description":"HIPPS-4CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLU","description":"HIPPS-4AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72195","description":"MRI pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Durable medical equipment mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1399","description":"Durable medical equipment mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61557","description":"Incise skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55877","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55877","description":"CPT-55877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA42","description":"HIPPS-RUA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspirate &biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0364","description":"Bone marrow aspirate &biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28D","description":"HIPPS-PB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28525","description":"Treat toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL1","description":"HIPPS-1AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43496","description":"Free jejunum flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73719","description":"MRI lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2B","description":"HIPPS-RHC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Othe therapist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9478","description":"Othe therapist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21C","description":"HIPPS-HC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6686","description":"Suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467U","description":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2398","description":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD135","description":"HIPPS-CD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48548","description":"Fuse pancreas and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentobarbital sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2515","description":"Pentobarbital sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tramadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80373","description":"Drug screening tramadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pharyngeal walls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42894","description":"Revision of pharyngeal walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL5","description":"HIPPS-1AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd shck absrber for hd powwc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1018","description":"Hd shck absrber for hd powwc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20C","description":"HIPPS-LB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES344","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES344","description":"HIPPS-ES344","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii fc fusion recomb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7205","description":"Factor viii fc fusion recomb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99215","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenytoin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1165","description":"Phenytoin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD114","description":"HIPPS-PD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4A","description":"HIPPS-RHL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9465","description":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0006","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13C","description":"HIPPS-PB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3D","description":"HIPPS-RMC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33410","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16 <=48 sq in w/bordr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6220","description":"Gauze >16 <=48 sq in w/bordr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe metatarsal bar wedge ro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3400","description":"Shoe metatarsal bar wedge ro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum incl acetabul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27076","description":"Resect hip tum incl acetabul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote assessment of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including interpretation with follow-up with the patient withi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2250","description":"Remote assessment of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including interpretation with follow-up with the patient withi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly XT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4197","description":"PuraPly XT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX35","description":"HIPPS-RMX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3D","description":"HIPPS-RUA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP1","description":"HIPPS-1CGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous laser 1st vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36478","description":"Endovenous laser 1st vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0901","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0901","description":"CDT-D0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ground mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0425","description":"Ground mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat odontoid fx w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22318","description":"Treat odontoid fx w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3D","description":"HIPPS-RML3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6540","description":"Gc stocking waistlngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy roof of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42100","description":"Biopsy roof of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX60","description":"HIPPS-RLX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-corrosive finish","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2780","description":"Non-corrosive finish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ifosfamide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9208","description":"Ifosfamide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prfrmnc docd 2 wks b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3328F","description":"Prfrmnc docd 2 wks b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-hemophil diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9345","description":"Hit anti-hemophil diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/density","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86972","description":"Rbc pretx incubatj w/density","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15D","description":"HIPPS-LD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow lat ligmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24344","description":"Reconstruct elbow lat ligmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4064F","description":"Antidepressant rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/tumr remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45338","description":"Sigmoidoscopy w/tumr remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI fetal ea addl gestation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74713","description":"MRI fetal ea addl gestation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of great vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33916","description":"Surgery of great vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg <=16 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6234","description":"Hydrocolld drg <=16 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28052","description":"Biopsy of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Report ckd measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8487","description":"Report ckd measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair non-electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0171","description":"Commode chair non-electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon characterized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1091F","description":"Urine incon characterized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voice current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9171","description":"Voice current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sio flex pelvic/sacr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0621","description":"Sio flex pelvic/sacr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27557","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of small int","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2053","description":"Transplantation of small int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetes prev standard curr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403T","description":"Diabetes prev standard curr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/fhdw/o lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21159","description":"Lefort iii w/fhdw/o lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit perf sx or high chd rsk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8966","description":"Csit perf sx or high chd rsk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of cervix radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57531","description":"Removal of cervix radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKV","description":"HIPPS-4CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18G","description":"HIPPS-LE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lesion destruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7465","description":"Lesion destruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore chest free adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32124","description":"Explore chest free adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pessary_ disposable_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4564","description":"Pessary_ disposable_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plas doub free knee mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2036","description":"Kafo plas doub free knee mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65275","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18B","description":"HIPPS-BA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt silver oxide 3 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0602","description":"Repl batt silver oxide 3 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45905","description":"Dilation of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0703","description":"HCPCS-C0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC225","description":"HIPPS-HC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LU GNOTYP BCAM EXON 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196U","description":"LU GNOTYP BCAM EXON 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt eye w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66180","description":"Aqueous shunt eye w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp remove duct calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43264","description":"Ercp remove duct calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24A","description":"HIPPS-PE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/w resect diag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32668","description":"Thoracoscopy w/w resect diag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg w/o pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56051","description":"Anesth heart surg w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth inpt pharm mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0459","description":"Telehealth inpt pharm mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM5","description":"HIPPS-4CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA54","description":"HIPPS-RVA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1457","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1457","description":"HCPCS-M1457","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69727","description":"Removal_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0652U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0652U","description":"CPT-0652U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23075","description":"Exc shoulder les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59409","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Puraply_ puraply antimic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9349","description":"Puraply_ puraply antimic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroereisis_ subtalar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2117","description":"Arthroereisis_ subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA02","description":"HIPPS-RVA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who utilize hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9768","description":"Patients who utilize hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00566","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00566","description":"CPT-00566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus imme rel oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7507","description":"Tacrolimus imme rel oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum over 10 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49205","description":"Exc abd tum over 10 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28X","description":"HIPPS-LD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKW","description":"HIPPS-2AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01922","description":"CPT-01922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70558","description":"MRI brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77066","description":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1903","description":"HCPCS-A1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11B","description":"HIPPS-CA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK4","description":"HIPPS-1BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stnlss steel crwn pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2930","description":"Prefab stnlss steel crwn pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tkr intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9234","description":"Tkr intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1808","description":"HCPCS-E1808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53210","description":"Removal of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL4","description":"HIPPS-1BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57500","description":"Biopsy of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27238","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death occurring during the index acute care hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9814","description":"Death occurring during the index acute care hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults currently taking pharmacotherapy for OUD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1032","description":"Adults currently taking pharmacotherapy for OUD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27715","description":"Revision of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA55","description":"HIPPS-RHA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81189","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat penis lesion graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54111","description":"Treat penis lesion graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Predominatly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6082","description":"Implant Supported Crown - Porcelain Fused To Predominatly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53270","description":"Removal of urethra gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dsm-5 info mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1040F","description":"Dsm-5 info mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft wrist bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25440","description":"Repair/graft wrist bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11300","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat odontoid fx w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22319","description":"Treat odontoid fx w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE116","description":"HIPPS-HE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA135","description":"HIPPS-CA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standard control cable extra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6655","description":"Standard control cable extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc hep gene risk classifier","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006M","description":"Onc hep gene risk classifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vehicle mod waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2039","description":"Vehicle mod waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine4/>vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72074","description":"X-ray exam thorac spine4/>vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proposed Adopting Best Practices And Promoting Patient Safety Within Emergency Medicine Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0057","description":"Proposed Adopting Best Practices And Promoting Patient Safety Within Emergency Medicine Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14040","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV)_ recombinant_ sub-unit_ adjuvanted_ for intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90750","description":"Zoster (shingles) vaccine (HZV)_ recombinant_ sub-unit_ adjuvanted_ for intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422U","description":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67966","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14D","description":"HIPPS-HB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLS","description":"HIPPS-1BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25D","description":"HIPPS-LE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystatin c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82610","description":"Cystatin c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emerge matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4297","description":"Emerge matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0202","description":"HCPCS-C0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28299","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0C","description":"HIPPS-RHL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil urethral suppos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0275","description":"Alprostadil urethral suppos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC31","description":"HIPPS-RMC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas inv disp sensor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1035","description":"Art pancreas inv disp sensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for lactose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83633","description":"Test urine for lactose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor ix ptc/chrstmas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85250","description":"Clot factor ix ptc/chrstmas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thxp apheresis w/hdl delip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342T","description":"Thxp apheresis w/hdl delip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKV","description":"HIPPS-2CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bedside drainage bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4357","description":"Bedside drainage bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27702","description":"Reconstruct ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of arsenic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82175","description":"Assay of arsenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41018","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable pack w/bowel syst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0352","description":"Disposable pack w/bowel syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigidlined cust fab two","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0486","description":"Tlso rigidlined cust fab two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB244","description":"HIPPS-CB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng esa thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4171F","description":"Pt rcvng esa thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5171","description":"HCPCS-Q5171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk12.6-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12005","description":"Rpr s/n/a/gen/trk12.6-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01500","description":"CPT-01500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54328","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50081","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy swallow tst (fees)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92613","description":"Endoscopy swallow tst (fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide ova aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76948","description":"Echo guide ova aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded plas rig ant tib","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1945","description":"Afo molded plas rig ant tib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anter chamber intraocul lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2630","description":"Anter chamber intraocul lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25D","description":"HIPPS-PE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29883","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42725","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461U","description":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75891","description":"Vein x-ray liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56152","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Freeing of bowel adhesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44005","description":"Freeing of bowel adhesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15014","description":"CPT-15014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM3","description":"HIPPS-3CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9392","description":"Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voltage-Gated Calcium Channel Antibody_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86596","description":"Voltage-Gated Calcium Channel Antibody_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8A","description":"HIPPS-RMC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM3","description":"HIPPS-2AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr tiller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0984","description":"Add pwr tiller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroguide for vein device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77001","description":"Fluoroguide for vein device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45540","description":"Correct rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad exp time w/o fluor doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9501","description":"Rad exp time w/o fluor doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lngleg cylndr ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4035","description":"Cast sup lngleg cylndr ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB151","description":"HIPPS-HB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath tube kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2326","description":"Breath tube kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL5","description":"HIPPS-1BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD110","description":"HIPPS-HD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis equipment noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1699","description":"Dialysis equipment noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLV","description":"HIPPS-2AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens spher single plano 4.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2100","description":"Lens spher single plano 4.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28D","description":"HIPPS-CC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD104","description":"HIPPS-PD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84154","description":"Assay of psa free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Completed epsdt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0302","description":"Completed epsdt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD110","description":"HIPPS-LD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38220","description":"Diagnostic bone marrow; aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ is referred within 1 month of the reactive hcv antibody test to a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1229","description":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ is referred within 1 month of the reactive hcv antibody test to a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioCoreTM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4227","description":"AmnioCoreTM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release muscles of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26593","description":"Release muscles of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33935","description":"Transplantation heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL03","description":"HIPPS-RUL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1002T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1002T","description":"CPT-1002T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6055","description":"Nicotine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1201","description":"HCPCS-A1201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis plastic surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54360","description":"Penis plastic surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 1 space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25023","description":"Decompress forearm 1 space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern reduc < 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49580","description":"Rpr umbil hern reduc < 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow up care plan mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545F","description":"Follow up care plan mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urethral insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4336","description":"Urethral insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1200","description":"Wheelchair amputee fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcitonin salmon injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0630","description":"Calcitonin salmon injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ ha_ i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2634","description":"Brachytx_ non-str_ ha_ i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative near-infrared fluorescence lymphatic mapping of lymp node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in add","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9756","description":"Intraoperative near-infrared fluorescence lymphatic mapping of lymp node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco counseling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1320","description":"Tobacco counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy (fowler-stephens)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54650","description":"Orchiopexy (fowler-stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-imaging heart function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78414","description":"Non-imaging heart function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj perflexane lip micros_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9955","description":"Inj perflexane lip micros_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2208","description":"Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLS","description":"HIPPS-1CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intestinal allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44137","description":"Remove intestinal allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99151","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8097","description":"Asthma kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62302","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked lwr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95929","description":"C motor evoked lwr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ot evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97003","description":"Ot evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLX","description":"HIPPS-3CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; multi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36466","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; multi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for cholangiogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47531","description":"Injection for cholangiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA43","description":"HIPPS-RLA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ alemtuzumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0202","description":"Injection_ alemtuzumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imuglucerase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1786","description":"Imuglucerase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair by enlargement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33610","description":"Repair by enlargement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1504","description":"HCPCS-A1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3342F","description":"Mammo assess bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow switch control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6950","description":"Above elbow switch control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18G","description":"HIPPS-CD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spiro no perf or doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8926","description":"Spiro no perf or doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair solid seat insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0992","description":"Wheelchair solid seat insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2101","description":"HCPCS-A2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57200","description":"Repair of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d abscess extraoral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7520","description":"I&d abscess extraoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cap bld skin piercing laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0620","description":"Cap bld skin piercing laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81295","description":"Msh2 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of halo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20664","description":"Application of halo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNW","description":"HIPPS-1AGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breathing capacity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94010","description":"Breathing capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 1-2 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98925","description":"Osteopath manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap enterolysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44180","description":"Lap enterolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prp i/hern init block >5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49507","description":"Prp i/hern init block >5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33851","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0877","description":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23620","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0823","description":"Pwc gp 2 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21183","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB220","description":"HIPPS-BB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate ca screening; dre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0102","description":"Prostate ca screening; dre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic source imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8035","description":"Magnetic source imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPS","description":"HIPPS-3BHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Robt lin-radsurg fractx 2-5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0340","description":"Robt lin-radsurg fractx 2-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM5","description":"HIPPS-4AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00142","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00142","description":"CPT-00142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0104","description":"HCPCS-B0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma volume multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78111","description":"Plasma volume multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0994T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0994T","description":"CPT-0994T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of clot in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35875","description":"Removal of clot in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4281","description":"Replacement breastpump tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable/insertable device for device intensive procedure_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1889","description":"Implantable/insertable device for device intensive procedure_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP2","description":"HIPPS-3CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL26","description":"HIPPS-RUL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA120","description":"HIPPS-CA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42720","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 2 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34842","description":"Endovasc visc aorta 2 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstr lwr jaw w/advance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21199","description":"Reconstr lwr jaw w/advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ c-131","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2642","description":"Brachytx_ stranded_ c-131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378U","description":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t4_n_m0 no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9093","description":"Onc dx rectal t4_n_m0 no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho d immune globulin 50 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2788","description":"Rho d immune globulin 50 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icg angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92240","description":"Icg angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic care management services_ provided personally by a physician or other qualified health care professional_ at least 30 minutes of physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99491","description":"Chronic care management services_ provided personally by a physician or other qualified health care professional_ at least 30 minutes of physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90853","description":"Group psychotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144U","description":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo without joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3923","description":"Hfo without joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417U","description":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES216","description":"HIPPS-ES216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65265","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additive for enteral formula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4104","description":"Additive for enteral formula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylenedioxyamphetamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80359","description":"Methylenedioxyamphetamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP4","description":"HIPPS-1AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4C","description":"HIPPS-RMX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX20","description":"HIPPS-RMX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corf related serv 15 mins ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0409","description":"Corf related serv 15 mins ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK5","description":"HIPPS-3AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKV","description":"HIPPS-5AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24515","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp ge3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1066F","description":"Ischm stroke symp ge3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy arm/elbow soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24066","description":"Biopsy arm/elbow soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 1 view frontal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71010","description":"Chest x-ray 1 view frontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28B","description":"HIPPS-CD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nos flu vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2039","description":"Nos flu vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personal Emergency Response System (Monthly Maintenance)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1895","description":"Personal Emergency Response System (Monthly Maintenance)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest/neck no thy nod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9557","description":"CT/MRI chest/neck no thy nod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6257","description":"Transparent film <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of facial/other nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64866","description":"Fusion of facial/other nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4239","description":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12C","description":"HIPPS-CC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protamine sulfate per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4802","description":"Protamine sulfate per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPS","description":"HIPPS-1BFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c seat lift mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0985","description":"W/c seat lift mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27507","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap w/omentopexy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49326","description":"Lap w/omentopexy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15C","description":"HIPPS-PC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rickettsia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86757","description":"Rickettsia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2641","description":"Brachytx_ non-stranded_p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent ea add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37239","description":"Open/perq place stent ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bladder abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51080","description":"Drainage of bladder abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety counseling dementia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6101F","description":"Safety counseling dementia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenylketones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84035","description":"Assay of phenylketones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN3 (ataxin 3) (eg_ spinocerebellar ataxia_ Machado-Joseph disease) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81180","description":"ATXN3 (ataxin 3) (eg_ spinocerebellar ataxia_ Machado-Joseph disease) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin depression screen not d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8432","description":"Clin depression screen not d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMV","description":"HIPPS-1BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61891","description":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxocobalamin_ intravenous_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3424","description":"Injection_ hydroxocobalamin_ intravenous_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPV","description":"HIPPS-3BFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8692","description":"Replacement retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1002","description":"HCPCS-C1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression arm sleeve_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6578","description":"Gradient compression arm sleeve_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d photographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0351","description":"3d photographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/arytenoidectom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31560","description":"Laryngoscop w/arytenoidectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0789T","description":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99316","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55400","description":"Repair of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine bacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87088","description":"Urine bacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy islet cell transp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0343","description":"Laparotomy islet cell transp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB26","description":"HIPPS-RMB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX15","description":"HIPPS-RUX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87116","description":"Mycobacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted none prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1126F","description":"Amnt pain noted none prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB246","description":"HIPPS-BB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1402","description":"HCPCS-B1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 30-40 mmhg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6552","description":"Gradient compression stocking_ below knee_ 30-40 mmhg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2-targeted therapies administered during the initial course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9828","description":"HER2-targeted therapies administered during the initial course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM3","description":"HIPPS-3AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24D","description":"HIPPS-BB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE255","description":"HIPPS-LE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze>16 <= 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6403","description":"Sterile gauze>16 <= 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat vaginal bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57180","description":"Treat vaginal bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00902","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00902","description":"CPT-00902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1122","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report nongyn spcmn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550F","description":"Cytopath report nongyn spcmn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2840","description":"Injection_ sebelipase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy remove segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32669","description":"Thoracoscopy remove segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure_ for example patient bilateral amputee; patient has condition tha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2178","description":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure_ for example patient bilateral amputee; patient has condition tha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20B","description":"HIPPS-LE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0680T","description":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft time of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6104","description":"Bone graft time of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN3","description":"HIPPS-3CFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8661","description":"Fun stat score ls pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 Vaccine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91303","description":"Janssen Covid-19 Vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole_ (Abilify Asimtufii)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9152","description":"Injection_ aripiprazole_ (Abilify Asimtufii)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8E","description":"HIPPS-RUC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95720","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 3 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34847","description":"Visc & infraren abd 3 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67801","description":"Remove eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing init wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299T","description":"Esw wound healing init wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1604","description":"HCPCS-C1604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IDH1 (isocitrate dehydrogenase 1 [NADP+]_ soluble) (eg_ glioma)_ common variants (eg_ R132H_ R132C)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81120","description":"IDH1 (isocitrate dehydrogenase 1 [NADP+]_ soluble) (eg_ glioma)_ common variants (eg_ R132H_ R132C)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen skin test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3031","description":"Collagen skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK6","description":"HIPPS-3CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1090T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1090T","description":"CPT-1090T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0320","description":"Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8E","description":"HIPPS-RVA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair upper jaw fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30580","description":"Repair upper jaw fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1260","description":"Wheelchair lightwt foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psych disorders assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3700F","description":"Psych disorders assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8E","description":"HIPPS-RVX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of somatomedin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84305","description":"Assay of somatomedin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61582","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood chloride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82435","description":"Assay of blood chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21600","description":"Partial removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk thigh lacer glut/ischia m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5682","description":"Bk thigh lacer glut/ischia m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m disofenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9510","description":"Tc99m disofenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt instr nrml activities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4245F","description":"Pt instr nrml activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ bra_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6528","description":"Gradient compression garment_ bra_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald_ tv amplifier_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5270","description":"Ald_ tv amplifier_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plating chrome/nickel pr bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2750","description":"Plating chrome/nickel pr bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7528","description":"HCPCS-J7528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10C","description":"HIPPS-BA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9460","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKX","description":"HIPPS-1BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism National Decision Support Company_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1004","description":"Clinical Decision Support Mechanism National Decision Support Company_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7040","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair brain fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62100","description":"Repair brain fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK5","description":"HIPPS-5BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse hand bones with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25825","description":"Fuse hand bones with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB06","description":"HIPPS-RUB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0815","description":"Pwc gp 1 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44140","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp ea duct/ampulla dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43277","description":"Ercp ea duct/ampulla dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12A","description":"HIPPS-PD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq art m-thrombect &/nfs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61645","description":"Perq art m-thrombect &/nfs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Work related disability exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99455","description":"Work related disability exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos clin depres scrn f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8431","description":"Pos clin depres scrn f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upright gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8001","description":"Upright gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg > 48 in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6236","description":"Hydrocolld drg > 48 in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parathyrd planar w/wo subtrj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78071","description":"Parathyrd planar w/wo subtrj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gastrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82941","description":"Assay of gastrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP2","description":"HIPPS-1BFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pontic - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6243","description":"Pontic - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meg spontaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95965","description":"Meg spontaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn no comm comorb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9232","description":"Docrsn no comm comorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine oral 50mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7500","description":"Azathioprine oral 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD201","description":"HIPPS-CD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of mastoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70130","description":"X-ray exam of mastoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine lumbar/sacral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62311","description":"Inject spine lumbar/sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22533","description":"Lat lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-pop-tibial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35623","description":"Art byp axillary-pop-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft/av fist patency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35686","description":"Bypass graft/av fist patency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1073T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1073T","description":"CPT-1073T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus caus bac inx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9364","description":"Sinus caus bac inx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB226","description":"HIPPS-CB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25B","description":"HIPPS-BB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap revise gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43771","description":"Lap revise gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD254","description":"HIPPS-LD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13B","description":"HIPPS-PB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA17","description":"HIPPS-RHA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKT","description":"HIPPS-4CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan standard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0275","description":"Bed pan standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5827","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5827","description":"HCPCS-L5827","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42510","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma education","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9441","description":"Asthma education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as tobacco user did not receive tobacco cessation intervention (counseling and/or pharmacotherapy)_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9908","description":"Patient identified as tobacco user did not receive tobacco cessation intervention (counseling and/or pharmacotherapy)_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not screening or recommending a follow-up for high blood pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1288","description":"Documented reason for not screening or recommending a follow-up for high blood pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shoulder cast fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4004","description":"Cast sup shoulder cast fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75605","description":"Contrast exam thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC54","description":"HIPPS-RMC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay iga/igd/igg/igm each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82784","description":"Assay iga/igd/igg/igm each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0603","description":"HCPCS-J0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic cont infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64463","description":"Pvb thoracic cont infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate conc pow per pack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4765","description":"Dialysate conc pow per pack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27517","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vedolizumab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80280","description":"Vedolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE214","description":"HIPPS-CE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ringers lactate infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7120","description":"Ringers lactate infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKV","description":"HIPPS-3AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7351","description":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73080","description":"X-ray exam of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29838","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8043","description":"Upper facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tx sys bio med psori 6mth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9652","description":"Pt tx sys bio med psori 6mth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no lipid profile","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8726","description":"Doc reas no lipid profile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l5-s1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22586","description":"Prescrl fuse w/ instr l5-s1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30462","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power adapter_ combo vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0478","description":"Power adapter_ combo vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rectal catheter for use with the manual pump-operated enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4453","description":"Rectal catheter for use with the manual pump-operated enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9702","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9479","description":"Pharmacist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0619U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0619U","description":"CPT-0619U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ viltolarsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9071","description":"Injection_ viltolarsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25028","description":"Drainage of forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41017","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95710","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00539","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00539","description":"CPT-00539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4185","description":"Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93641","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML43","description":"HIPPS-RML43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipoprotein(a)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83695","description":"Assay of lipoprotein(a)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl DualGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4332","description":"Axolotl DualGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection eye drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67028","description":"Injection eye drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM1","description":"HIPPS-2AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81322","description":"Pten gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87560","description":"M.avium-intra dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376U","description":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Halo cervical into jckt vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0810","description":"Halo cervical into jckt vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo_ colon_ retro imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1749","description":"Endo_ colon_ retro imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22902","description":"Exc abd les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr guide of vasc site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287T","description":"Near ifr guide of vasc site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65755","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Galsulfase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1458","description":"Galsulfase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15101","description":"Skin splt grft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0650T","description":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28I","description":"HIPPS-HD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"OPH AMD ALYS 3 GENE VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205U","description":"OPH AMD ALYS 3 GENE VARIANTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1704","description":"HCPCS-B1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35471","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9762","description":"Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-apgf_ biosimilar_ (nyvepria)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5122","description":"Injection_ pegfilgrastim-apgf_ biosimilar_ (nyvepria)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Has Any Emergency Department Encounter During The Performance Period With Place Of Service Indicator 23","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0035","description":"Patient Has Any Emergency Department Encounter During The Performance Period With Place Of Service Indicator 23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tapentadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80372","description":"Drug screening tapentadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime_ mouthpiece each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4594","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime_ mouthpiece each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chron care mgmt srvc 20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99490","description":"Chron care mgmt srvc 20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plast socket jts/thgh lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5105","description":"Plast socket jts/thgh lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth stone removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91851","description":"Anesth stone removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1083","description":"Hemi-wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjv thxpyrxd/rcvd colon ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4180F","description":"Adjv thxpyrxd/rcvd colon ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >6 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1135F","description":"Epsd bk pain for >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace/irrigate catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62194","description":"Replace/irrigate catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening oxycodone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80365","description":"Drug screening oxycodone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt immunity to hep a docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3215F","description":"Pt immunity to hep a docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ bandage liner_ lower extremity_ any size or length_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6594","description":"Gradient compression bandaging supply_ bandage liner_ lower extremity_ any size or length_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hmatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4134","description":"Hmatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25C","description":"HIPPS-PE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33250","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss-no dscnmkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1124F","description":"Acp discuss-no dscnmkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of caries arresting medicament-per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1354","description":"Application of caries arresting medicament-per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4772","description":"Blood glucose test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysin acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85475","description":"Hemolysin acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test socket shldr disart/tho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6684","description":"Test socket shldr disart/tho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid fitting/checking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5011","description":"Hearing aid fitting/checking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10D","description":"HIPPS-HD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 150-199mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9959","description":"Hocm 150-199mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK2","description":"HIPPS-1AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLX","description":"HIPPS-3CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2B","description":"HIPPS-RVA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81286","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/3d image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75572","description":"Ct hrt w/3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK5","description":"HIPPS-5AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of gastrostomy tube_ percutaneous_ without imaging or endoscopic guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43760","description":"Change of gastrostomy tube_ percutaneous_ without imaging or endoscopic guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68760","description":"Close tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61250","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL10","description":"HIPPS-RHL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC134","description":"HIPPS-HC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 250-299mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9961","description":"Hocm 250-299mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1285","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9696","description":"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenytoin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80185","description":"Assay of phenytoin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA56","description":"HIPPS-RMA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin alfa_ 100 units esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4081","description":"Epoetin alfa_ 100 units esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLT","description":"HIPPS-3AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA214","description":"HIPPS-CA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1157F","description":"Advnc care plan in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous breast biopsies using stereotactic guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the biops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7501","description":"Percutaneous breast biopsies using stereotactic guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the biops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_non-prog_ perm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1891","description":"Infusion pump_non-prog_ perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12A","description":"HIPPS-LE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Straight knee joint heavy du","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2385","description":"Straight knee joint heavy du","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33251","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6122","description":"Implant Supported Retainer For Metal Fpd - Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24D","description":"HIPPS-PC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC114","description":"HIPPS-HC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5139","description":"HCPCS-Q5139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest compression gen system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0483","description":"Chest compression gen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR or AltiPly_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4235","description":"AMNIOREPAIR or AltiPly_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01620","description":"CPT-01620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKU","description":"HIPPS-5CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj perflutren lip micros_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9957","description":"Inj perflutren lip micros_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ Cardiac Contractility Modulation (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1824","description":"Generator_ Cardiac Contractility Modulation (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA245","description":"HIPPS-BA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK3","description":"HIPPS-1CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE201","description":"HIPPS-CE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33361","description":"Replace aortic valve perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8A","description":"HIPPS-RLB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE231","description":"HIPPS-PE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csf ventriculography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78635","description":"Csf ventriculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25B","description":"HIPPS-CE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Depo-estradiol cypionate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1000","description":"Depo-estradiol cypionate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM6","description":"HIPPS-1CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0839","description":"Pwc gp2 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0804","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0804","description":"CDT-D0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open thrombect av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36831","description":"Open thrombect av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin/clopidogrel rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4086F","description":"Aspirin/clopidogrel rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IDH2 (isocitrate dehydrogenase 2 [NADP+]_ mitochondrial) (eg_ glioma)_ common variants (eg_ R140W_ R172M)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81121","description":"IDH2 (isocitrate dehydrogenase 2 [NADP+]_ mitochondrial) (eg_ glioma)_ common variants (eg_ R140W_ R172M)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA17","description":"HIPPS-RMA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide for gi tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74340","description":"X-ray guide for gi tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flutamide 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0175","description":"Flutamide 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2982","description":"Onlay repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meperidine/promethazine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2180","description":"Meperidine/promethazine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28D","description":"HIPPS-BB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrst mold sock w/exp interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6055","description":"Wrst mold sock w/exp interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8A","description":"HIPPS-RHA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv push addl drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96411","description":"Chemo iv push addl drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0596U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0596U","description":"CPT-0596U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58578","description":"Laparo proc uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip casts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29325","description":"Application of hip casts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral evaluation pt < 3yrs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0145","description":"Oral evaluation pt < 3yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC54","description":"HIPPS-RUC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64655","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64655","description":"CPT-64655","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97130","description":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd trapeze bar attach to bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0911","description":"Hd trapeze bar attach to bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ foot_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6587","description":"Gradient pressure wrap with adjustable straps_ foot_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D8091","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D8091","description":"CDT-D8091","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; single view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71045","description":"Radiologic examination_ chest; single view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3D","description":"HIPPS-RVL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctrnc skn surf brchytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394T","description":"Hdr elctrnc skn surf brchytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint spacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8658","description":"Interphalangeal joint spacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I & d vag hematoma non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57023","description":"I & d vag hematoma non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2212","description":"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle(s) add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67320","description":"Revise eye muscle(s) add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable sensor_ cgm sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9276","description":"Disposable sensor_ cgm sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC40","description":"HIPPS-RUC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24A","description":"HIPPS-CD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLW","description":"HIPPS-4AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15241","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transferred to practice after initiation of chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9826","description":"Patient transferred to practice after initiation of chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNV","description":"HIPPS-1AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB41","description":"HIPPS-RUB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40804","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy cerv/thor facet jnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64633","description":"Destroy cerv/thor facet jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rectum surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45999","description":"Rectum surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93786","description":"Ambulatory bp recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scoliosis dna alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004M","description":"Scoliosis dna alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-dyyb_ biosimilar_ (Inflectra)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5103","description":"Injection_ infliximab-dyyb_ biosimilar_ (Inflectra)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rxt breast appl place/remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9726","description":"Rxt breast appl place/remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20250","description":"Open bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev artific disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098T","description":"Rev artific disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eribulin mesylate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9179","description":"Eribulin mesylate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gentamicin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80170","description":"Assay of gentamicin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN1","description":"HIPPS-3CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00834","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00834","description":"CPT-00834","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5940","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5940","description":"CDT-D5940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sacral nerve stim test lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4290","description":"Sacral nerve stim test lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Screening For Tobacco Use (E.G._ Limited Life Expectancy_ Other Medical Reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0028","description":"Documentation Of Medical Reason(S) For Not Screening For Tobacco Use (E.G._ Limited Life Expectancy_ Other Medical Reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPU","description":"HIPPS-3CGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81427","description":"Genome re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5244","description":"Hearing aid_ prog_ mon_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB112","description":"HIPPS-HB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of artery/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35761","description":"Exploration of artery/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL06","description":"HIPPS-RUL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polishing artifical eye","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2624","description":"Polishing artifical eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99310","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96936","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93247","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB150","description":"HIPPS-PB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tibial fracture soft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2112","description":"Afo tibial fracture soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27810","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ luspatercept-aamt_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0896","description":"Injection_ luspatercept-aamt_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 0 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3382F","description":"Ajcc cln cncr stage 0 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4035","description":"Thoracic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC10","description":"HIPPS-RUC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE106","description":"HIPPS-LE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso a-p-l control w/ inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0710","description":"Ctlso a-p-l control w/ inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57522","description":"Conization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic mitomycin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7315","description":"Ophthalmic mitomycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Cutaneous Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 31 Genes (28 Content And 3 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81529","description":"Oncology (Cutaneous Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 31 Genes (28 Content And 3 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM1","description":"HIPPS-4BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt offered tx for pseudobulb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4541F","description":"Pt offered tx for pseudobulb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB244","description":"HIPPS-PB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB42","description":"HIPPS-RUB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3D","description":"HIPPS-RUX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460U","description":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61690","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect leg/ankle tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27616","description":"Resect leg/ankle tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ofloxacin_ 400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0034","description":"Injection_ ofloxacin_ 400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine osmolality","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83935","description":"Assay of urine osmolality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g._ patients with dementia or tracheostomy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1215","description":"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g._ patients with dementia or tracheostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg >48 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0746","description":"Absorp drg >48 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31576","description":"Laryngoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ diag/abl_ 3d/vect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1732","description":"Cath_ ep_ diag/abl_ 3d/vect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stim for scoli","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0744","description":"Neuromuscular stim for scoli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0578T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0D","description":"HIPPS-AAA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of kneecap tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27380","description":"Repair of kneecap tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient was a permanent nursing home resident at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1058","description":"Patient was a permanent nursing home resident at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE225","description":"HIPPS-PE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Commissure splint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5987","description":"Commissure splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK3","description":"HIPPS-5CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 2-3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73502","description":"X-ray exam hip uni 2-3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51520","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas cyst and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48520","description":"Fuse pancreas cyst and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl trach puncture dilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8514","description":"Repl trach puncture dilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD155","description":"HIPPS-CD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0536U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0536U","description":"CPT-0536U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Bezlotoxumab 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9490","description":"Injection Bezlotoxumab 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9485","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD101","description":"HIPPS-CD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1283","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray head for orthodontia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70350","description":"X-ray head for orthodontia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4409","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4409","description":"HCPCS-Q4409","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE260","description":"HIPPS-CE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37615","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24470","description":"Revision of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLT","description":"HIPPS-3CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB44","description":"HIPPS-RLB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28B","description":"HIPPS-HE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA11","description":"HIPPS-RVA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-35602","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35602","description":"CPT-35602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12032","description":"Intmd rpr s/a/t/ext 2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise hip/thigh nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64766","description":"Incise hip/thigh nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic band & belt thigh fla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2192","description":"Pelvic band & belt thigh fla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1452","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1452","description":"HCPCS-M1452","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL35","description":"HIPPS-RVL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18C","description":"HIPPS-CE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76828","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0501","description":"HCPCS-C0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert lens prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66985","description":"Insert lens prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr24 nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2362","description":"Gr24 nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24360","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergy/immunology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0060","description":"Allergy/immunology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric electric hand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7008","description":"Pediatric electric hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX50","description":"HIPPS-RMX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42960","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo removal donor kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50547","description":"Laparo removal donor kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28F","description":"HIPPS-LD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18X","description":"HIPPS-LD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2305","description":"Lens sphcy trifocal 4.0/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo neurostim 1 array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61885","description":"Insrt/redo neurostim 1 array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2080","description":"Laup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93620","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add horseshoe toe tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3560","description":"O shoe add horseshoe toe tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral posterior image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0251","description":"Extraoral posterior image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9308","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9308","description":"HCPCS-C9308","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bamlanivimab and etesevimab_ 2100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0245","description":"Injection_ bamlanivimab and etesevimab_ 2100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL01","description":"HIPPS-RVL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01210","description":"CPT-01210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26560","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25375","description":"Revise radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01130","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01130","description":"CPT-01130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renin stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80417","description":"Renin stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB130","description":"HIPPS-BB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1603","description":"HCPCS-A1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX13","description":"HIPPS-RHX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiotepa injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9340","description":"Thiotepa injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLV","description":"HIPPS-2BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic passive restor comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6360","description":"Thoracic passive restor comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery blockage each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75968","description":"Repair artery blockage each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLX","description":"HIPPS-3AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1703","description":"HCPCS-A1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0868T","description":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home vent mgmt supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94005","description":"Home vent mgmt supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22C","description":"HIPPS-HC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via av graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4053F","description":"Hemodialysis via av graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alerting device_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5269","description":"Alerting device_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78710","description":"Kidney imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology breast mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81519","description":"Oncology breast mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26370","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shank ft w vert load pylon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5987","description":"Shank ft w vert load pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3751","description":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13A","description":"HIPPS-ES13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15836","description":"Excise excessive skin arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranio/maxillofacial surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21299","description":"Cranio/maxillofacial surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Targeted Sequence Analysis (Eg_ 4 Oncology)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81352","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Targeted Sequence Analysis (Eg_ 4 Oncology)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX07","description":"HIPPS-RHX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Baclofen intrathecal trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0476","description":"Baclofen intrathecal trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-2 piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21146","description":"Lefort i-2 piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lacosamide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9254","description":"Injection_ lacosamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2c9 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81227","description":"Cyp2c9 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58900","description":"Biopsy of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLU","description":"HIPPS-4BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9583","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25651","description":"Pin ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Should sling/vest/abrestrain","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4566","description":"Should sling/vest/abrestrain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC135","description":"HIPPS-PC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87495","description":"Cytomeg dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0604","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0604","description":"CDT-D0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0709T","description":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD115","description":"HIPPS-CD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93248","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15B","description":"HIPPS-CB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81294","description":"Mlh1 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB225","description":"HIPPS-CB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1466","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1466","description":"HCPCS-M1466","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Hpc Nos 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9985","description":"Injection Hpc Nos 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj tbo filgrastim 1 microg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1447","description":"Inj tbo filgrastim 1 microg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18X","description":"HIPPS-HC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKV","description":"HIPPS-5CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0505","description":"HCPCS-B0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0A","description":"HIPPS-RHL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial mastectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19301","description":"Partial mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA124","description":"HIPPS-PA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Feces culture aerobic bact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87045","description":"Feces culture aerobic bact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB155","description":"HIPPS-PB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN4","description":"HIPPS-1AGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cancer stage docd metast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3301F","description":"Cancer stage docd metast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin suppression panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80432","description":"Insulin suppression panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB215","description":"HIPPS-LB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37280","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37280","description":"CPT-37280","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0324U","description":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain bl w/cath insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51102","description":"Drain bl w/cath insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0621T","description":"Trabeculostomy Ab Interno By Laser;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domicil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0086","description":"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domicil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0532U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0532U","description":"CPT-0532U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA53","description":"HIPPS-RMA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11104","description":"Punch biopsy of skin (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL5","description":"HIPPS-4AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0695U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0695U","description":"CPT-0695U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0522U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0522U","description":"CPT-0522U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2037","description":"HCPCS-A2037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low pecarn ped head trauma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9593","description":"Low pecarn ped head trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Posterior Chamber Of Eye_ Medication","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0699T","description":"Injection_ Posterior Chamber Of Eye_ Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: positional headaches","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2191","description":"Patients with clinical indications for imaging of the head: positional headaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX53","description":"HIPPS-RUX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29345","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP4","description":"HIPPS-3AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP2","description":"HIPPS-3AGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12B","description":"HIPPS-CE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK6","description":"HIPPS-4CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H pylori (c-13) blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83009","description":"H pylori (c-13) blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC03","description":"HIPPS-RVC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA10","description":"HIPPS-AAA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apically positioned flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4245","description":"Apically positioned flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35022","description":"Repair artery rupture chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite care_ in the home_ p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9125","description":"Respite care_ in the home_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 10 MCG TRS-SUCR (pediatric vaccine)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91307","description":"SARSCOV2 VAC 10 MCG TRS-SUCR (pediatric vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray skull epidural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75872","description":"Vein x-ray skull epidural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelv tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27045","description":"Exc hip/pelv tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468U","description":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gamma globulin 1 cc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1460","description":"Gamma globulin 1 cc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE214","description":"HIPPS-HE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic spirometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0487","description":"Electronic spirometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0767","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0767","description":"HCPCS-E0767","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95146","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA251","description":"HIPPS-CA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48150","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0903","description":"HCPCS-A0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray male genital tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74440","description":"X-ray male genital tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8871","description":"Patient not receiving a first course of anti-tnf therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68 psma-11_ diagnostic_ (ucsf)_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9593","description":"Gallium ga-68 psma-11_ diagnostic_ (ucsf)_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK2","description":"HIPPS-3BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegcetacoplan_ intravitreal_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2781","description":"Injection_ pegcetacoplan_ intravitreal_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37248","description":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64051","description":"Anesth spine manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX10","description":"HIPPS-RMX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC160","description":"HIPPS-HC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01758","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01758","description":"CPT-01758","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung bx plug w/del sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2613","description":"Lung bx plug w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treponema pallidum ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87285","description":"Treponema pallidum ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB250","description":"HIPPS-LB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4023","description":"Pathology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77061","description":"Breast tomosynthesis uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen gel/paste wound fil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6011","description":"Collagen gel/paste wound fil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microslide consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88321","description":"Microslide consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0404","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0404","description":"CDT-D0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0250U","description":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaccinia (smallpox) virus vaccine_ live_ lyophilized_ 0.3 mL dosage_ for percutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90622","description":"Vaccinia (smallpox) virus vaccine_ live_ lyophilized_ 0.3 mL dosage_ for percutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9278","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9278","description":"HCPCS-J9278","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4025","description":"Physical Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure pad for mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0197","description":"Air pressure pad for mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1640","description":"Hemin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18G","description":"HIPPS-PB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84234","description":"Assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415T","description":"Repos car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7531","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7531","description":"HCPCS-J7531","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy dose plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77300","description":"Radiation therapy dose plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive mastoid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69530","description":"Extensive mastoid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diag tst detect mucos abnorm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0431","description":"Diag tst detect mucos abnorm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK6","description":"HIPPS-1BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5701","description":"Replace socket above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroconvulsive therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90870","description":"Electroconvulsive therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES131","description":"HIPPS-ES131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst hgh nbl mtl >=3srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6611","description":"Onlay cst hgh nbl mtl >=3srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes ankle w/o (sach) foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5703","description":"Symes ankle w/o (sach) foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26445","description":"Release hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound breast limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76642","description":"Ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation nasal sinus artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30915","description":"Ligation nasal sinus artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt shldr dis/interc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6885","description":"Replc sockt shldr dis/interc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66700","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0906T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0906T","description":"CPT-0906T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pca3/klk3 antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81313","description":"Pca3/klk3 antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer system >300","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1036","description":"Patient transfer system >300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50135","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ deoxycholic acid_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0591","description":"Injection_ deoxycholic acid_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mononuclear cell antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86356","description":"Mononuclear cell antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lab labial veneer resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2961","description":"Lab labial veneer resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional splint extracoro","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4321","description":"Provisional splint extracoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pouch clsd w barr attached","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5051","description":"Pouch clsd w barr attached","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hib prp-omp vacc 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90647","description":"Hib prp-omp vacc 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP2","description":"HIPPS-1CFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011M","description":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64901","description":"Nerve graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drill skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61108","description":"Drill skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0049U","description":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg1a-b or 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9114","description":"Onc dx ovarian stg1a-b or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport air","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0140","description":"Nonemergency transport air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15A","description":"HIPPS-PC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Press pad alternating w/ pum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0181","description":"Press pad alternating w/ pum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx complex interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90785","description":"Psytx complex interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography neck spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72240","description":"Myelography neck spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc gastro 51 gene nomogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007M","description":"Onc gastro 51 gene nomogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture type pulse field gel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87152","description":"Culture type pulse field gel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA156","description":"HIPPS-BA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL43","description":"HIPPS-RUL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23C","description":"HIPPS-PC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28A","description":"HIPPS-CC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20C","description":"HIPPS-CD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero & or pyeloscope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52351","description":"Cystouretero & or pyeloscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68510","description":"Biopsy of tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29822","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine_ serogroups A_ C_ W_ Y_ quadrivalent_ tetanus toxoid carrier (MenACWY-TT)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90619","description":"Meningococcal conjugate vaccine_ serogroups A_ C_ W_ Y_ quadrivalent_ tetanus toxoid carrier (MenACWY-TT)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen one/mult class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80303","description":"Drug screen one/mult class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PAS (Consumer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1792","description":"PAS (Consumer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31635","description":"Bronchoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD216","description":"HIPPS-CD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdo back wall comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76770","description":"Us exam abdo back wall comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC236","description":"HIPPS-CC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt dchg home post op day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9601","description":"Pt dchg home post op day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295U","description":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB25","description":"HIPPS-RVB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL2","description":"HIPPS-3CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87494","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87494","description":"CPT-87494","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1424","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1424","description":"HCPCS-M1424","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion service fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36460","description":"Transfusion service fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74420","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0C","description":"HIPPS-RHA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18C","description":"HIPPS-HB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0018","description":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0490U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0490U","description":"CPT-0490U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aprotonin_ 10_000 kiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0365","description":"Aprotonin_ 10_000 kiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX13","description":"HIPPS-RVX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB110","description":"HIPPS-LB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31030","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21433","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; encounter/trip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2003","description":"N-et; encounter/trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of antiinfective_ pain management_ chelation_ pulmonary hypertension_ and/or inotr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0068","description":"Professional services for the administration of antiinfective_ pain management_ chelation_ pulmonary hypertension_ and/or inotr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ingest challenge ini 120 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95076","description":"Ingest challenge ini 120 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"(Rapivab) Injection_ Peramivir_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9451","description":"(Rapivab) Injection_ Peramivir_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1135","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23466","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58976","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplt allo hct/donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38240","description":"Transplt allo hct/donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD205","description":"HIPPS-HD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50572","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLV","description":"HIPPS-1BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK1","description":"HIPPS-1CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elranatamab-bcmm_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1323","description":"Injection_ elranatamab-bcmm_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluocinol acet intravit imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7313","description":"Fluocinol acet intravit imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct gas permeable sphericl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2510","description":"Cntct gas permeable sphericl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair single ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33619","description":"Repair single ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients between 50 and 85 years of age who received a screening colonoscopy during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2204","description":"Patients between 50 and 85 years of age who received a screening colonoscopy during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove int/ext hem 1 group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46255","description":"Remove int/ext hem 1 group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK3","description":"HIPPS-5BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9690","description":"Patient receiving hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8A","description":"HIPPS-RVL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serv part of phase i trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9988","description":"Serv part of phase i trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19284","description":"Perq dev breast add strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD125","description":"HIPPS-HD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA145","description":"HIPPS-BA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7524","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ genital region_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6570","description":"Gradient compression garment_ genital region_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18B","description":"HIPPS-CB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC235","description":"HIPPS-CC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect abd tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22905","description":"Rad resect abd tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14A","description":"HIPPS-CA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy microsurg graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15842","description":"Nerve palsy microsurg graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray stereo frontal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71015","description":"Chest x-ray stereo frontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic standing frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0642","description":"Dynamic standing frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sf3B1 (Splicing Factor [3B] Subunit B1) (Eg_ Myelodysplastic Syndrome/Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ A672T_ E622D_ L833F_ R625C_ R625L)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81347","description":"Sf3B1 (Splicing Factor [3B] Subunit B1) (Eg_ Myelodysplastic Syndrome/Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ A672T_ E622D_ L833F_ R625C_ R625L)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval appros surg thxpy epi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5200F","description":"Eval appros surg thxpy epi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72197","description":"MRI pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01830","description":"CPT-01830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anabolic steroid 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80327","description":"Anabolic steroid 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA35","description":"HIPPS-RVA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photosensitivity tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95056","description":"Photosensitivity tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion insulin pump needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4231","description":"Infusion insulin pump needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivf package","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4011","description":"Ivf package","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium in urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82340","description":"Assay of calcium in urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD106","description":"HIPPS-PD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cran surg hemotoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21152","description":"Anesth cran surg hemotoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create eardrum opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69433","description":"Create eardrum opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28A","description":"HIPPS-HB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18F","description":"HIPPS-CE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mdd severe w/o psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3090F","description":"Mdd severe w/o psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alginate dressing > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6198","description":"Alginate dressing > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA205","description":"HIPPS-CA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43116","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95719","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0912T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0912T","description":"CPT-0912T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2D","description":"HIPPS-RUL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20200","description":"Muscle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid profile perf doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8725","description":"Lipid profile perf doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac drug stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93024","description":"Cardiac drug stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0569","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0569","description":"HCPCS-G0569","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29887","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remis 12m not phq-9 score <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9510","description":"Remis 12m not phq-9 score <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21720","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67950","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50728","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi endoscopic ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76975","description":"Gi endoscopic ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap esoph lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43283","description":"Lap esoph lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypoxia response curve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94450","description":"Hypoxia response curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec stains not for microorg","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0477","description":"Spec stains not for microorg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8697","description":"Antithromb no presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of major peripheral nerve neuroma_ except sciatic_ with implantation of nerve end into bone or muscle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7551","description":"Excision of major peripheral nerve neuroma_ except sciatic_ with implantation of nerve end into bone or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3B","description":"HIPPS-RHX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2006","description":"Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complete cbc w/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85025","description":"Complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE115","description":"HIPPS-LE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00580","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00580","description":"CPT-00580","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL20","description":"HIPPS-RUL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 16 & >","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88189","description":"Flowcytometry/read 16 & >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla open reduct compound","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7710","description":"Maxilla open reduct compound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise vag graft open abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57296","description":"Revise vag graft open abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meropenem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2185","description":"Meropenem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp neurosti pls gn any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8679","description":"Imp neurosti pls gn any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoag thx rx at dischrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4075F","description":"Anticoag thx rx at dischrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20912","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0693T","description":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provider who referred the patient to another provider received a report from the provider to whom the patient was referred","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9969","description":"Provider who referred the patient to another provider received a report from the provider to whom the patient was referred","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect inferior turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30140","description":"Resect inferior turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPS","description":"HIPPS-1BGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0585U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0585U","description":"CPT-0585U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; each additional 30 minutes (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96548","description":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; each additional 30 minutes (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL52","description":"HIPPS-RVL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a normal neurological examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9535","description":"Patients with a normal neurological examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50395","description":"Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD245","description":"HIPPS-CD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ATXN1 (ataxin 1) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81178","description":"ATXN1 (ataxin 1) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emer rspns sys serv permonth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5161","description":"Emer rspns sys serv permonth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKS","description":"HIPPS-2AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10D","description":"HIPPS-LD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8502","description":"HCPCS-J8502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54304","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntsty modul rad tx dlvr cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77386","description":"Ntsty modul rad tx dlvr cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immediate breast prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19340","description":"Immediate breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67921","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ leuprolide acetate for depot suspension (fensolvi)_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1951","description":"Injection_ leuprolide acetate for depot suspension (fensolvi)_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPU","description":"HIPPS-1AGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palatal lift prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5955","description":"Palatal lift prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies induced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85445","description":"Heinz bodies induced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLW","description":"HIPPS-1CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor IX (antihemophilic factor_ recombinant)_ glycopegylated_ Rebinyn_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9468","description":"Injection_ Factor IX (antihemophilic factor_ recombinant)_ glycopegylated_ Rebinyn_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7518","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp anchorage dev w flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7293","description":"Temp anchorage dev w flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419U","description":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External beam to prost only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4200F","description":"External beam to prost only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKX","description":"HIPPS-1AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foll-up eval q3mo opiod tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9562","description":"Foll-up eval q3mo opiod tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing rbc antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86905","description":"Blood typing rbc antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crgvr prov w/ ed addl rsrcs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4322F","description":"Crgvr prov w/ ed addl rsrcs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65900","description":"Remove eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lambswool sheepskin pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0189","description":"Lambswool sheepskin pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Administration of a standardized_ evidence-based social determinants of health risk assessment tool_ 5-15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0136","description":"Administration of a standardized_ evidence-based social determinants of health risk assessment tool_ 5-15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl sys panel 4 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0692","description":"Uvl sys panel 4 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3A","description":"HIPPS-RML3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2318","description":"Lens aniseikonic trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Dalbavancin_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9443","description":"Injection_ Dalbavancin_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pegaspargase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9266","description":"Pegaspargase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop colon lavage add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44701","description":"Intraop colon lavage add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy_ vaginal; minimally invasive extra-peritoneal approach (sacrospinous)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9778","description":"Colpopexy_ vaginal; minimally invasive extra-peritoneal approach (sacrospinous)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0663T","description":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00402","description":"CPT-00402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2226","description":"Caster fork replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SYPHILIS TST ANTB IA QUAN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210U","description":"SYPHILIS TST ANTB IA QUAN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Known Familial Variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81353","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Known Familial Variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15D","description":"HIPPS-CB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 3-4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73522","description":"X-ray exam hips bi 3-4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit declotting kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5517","description":"Hit declotting kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; stretcher van","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2005","description":"N-et; stretcher van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33025","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talimogene laherparepvec_ 1 million plaque forming units (PFU) (Imlygic)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9472","description":"Injection_ talimogene laherparepvec_ 1 million plaque forming units (PFU) (Imlygic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als defibrillation supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0392","description":"Als defibrillation supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcium infusion test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82331","description":"Calcium infusion test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPX","description":"HIPPS-1BGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP6","description":"HIPPS-1CHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442T","description":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80331","description":"Analgesics non-opioid 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0492U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0492U","description":"CPT-0492U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0D","description":"HIPPS-RUC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7633","description":"Budesonide non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72128","description":"Ct chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26650","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29819","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography contrast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9700","description":"Echocardiography contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18D","description":"HIPPS-PC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38228","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38228","description":"CPT-38228","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4367","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4367","description":"HCPCS-Q4367","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1327","description":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6070","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov/replc ur sphinctr comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53448","description":"Remov/replc ur sphinctr comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11622","description":"Exc s/n/h/f/g mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for lymphatic x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38790","description":"Inject for lymphatic x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99177","description":"Ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ald_ tv caption decoder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5271","description":"Ald_ tv caption decoder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB255","description":"HIPPS-PB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vutrisiran_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0225","description":"Injection_ vutrisiran_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65875","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 sod iodide mic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9516","description":"Iodine i-123 sod iodide mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB43","description":"HIPPS-RHB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc stroke after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9258","description":"Doc stroke after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26720","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy eyelid & lid margin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67810","description":"Biopsy eyelid & lid margin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Head control nonproportional","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2329","description":"Head control nonproportional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has copd symptoms (e.g._ dyspnea_ cough/sputum_ wheezing)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1218","description":"Patient has copd symptoms (e.g._ dyspnea_ cough/sputum_ wheezing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM6","description":"HIPPS-1AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2C","description":"HIPPS-RHA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein six or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33516","description":"Cabg vein six or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21182","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1823","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1823","description":"HCPCS-E1823","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74775","description":"X-ray exam of perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95705","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12031","description":"Intmd rpr s/a/t/ext 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99201","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging limited area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78800","description":"Tumor imaging limited area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paranasal sinus ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9024","description":"Paranasal sinus ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93979","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone acetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1700","description":"Hydrocortisone acetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7683","description":"Triamcinolone comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0726T","description":"Removal of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic derotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1260","description":"Anterior thoracic derotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TOTAL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4330","description":"TOTAL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50940","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27681","description":"Release of lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control_ including vascular access and closure_ right heart catherization_ venou","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9783","description":"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control_ including vascular access and closure_ right heart catherization_ venou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A8006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8006","description":"HCPCS-A8006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC106","description":"HIPPS-CC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0406","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0406","description":"CDT-D0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA215","description":"HIPPS-CA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn for catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9239","description":"Docrsn for catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD220","description":"HIPPS-PD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93041","description":"Rhythm ecg tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9909","description":"Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image ltd area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78811","description":"Pet image ltd area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close chest after drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32810","description":"Close chest after drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reason for no hep c rna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9204","description":"No reason for no hep c rna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94760","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perp bk ptb thermopls direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5520","description":"Perp bk ptb thermopls direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244T","description":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ fixed_ bilateral_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1517","description":"Space maintainer_ fixed_ bilateral_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6722","description":"Crown resin w/noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc a stim case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4017","description":"Ivf canc a stim case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 12 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1136F","description":"Epsd bk pain for 12 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Clinical Problem_ With Limited Review Of Patient_S History And Medical Records And Straightforward Medical Decision Making When Using Ti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80503","description":"Pathology Clinical Consultation; For A Clinical Problem_ With Limited Review Of Patient_S History And Medical Records And Straightforward Medical Decision Making When Using Ti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair_ any appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair_ any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal hysteresis deter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92145","description":"Corneal hysteresis deter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval sngl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93279","description":"Pm device progr eval sngl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test sickle cell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3850","description":"Gene test sickle cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97710","description":"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL34","description":"HIPPS-RVL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provider who referred the patient to another provider did not receive a report from the provider to whom the patient was referred","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9970","description":"Provider who referred the patient to another provider did not receive a report from the provider to whom the patient was referred","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1737","description":"HCPCS-C1737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35182","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69120","description":"Removal of external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryptosporidium ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87272","description":"Cryptosporidium ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alatrofloxacin mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0200","description":"Alatrofloxacin mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy unspecified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96549","description":"Chemotherapy unspecified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9121","description":"Injection_ argatroban","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28X","description":"HIPPS-CA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ige","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82785","description":"Assay of ige","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dmd dup/delet analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81161","description":"Dmd dup/delet analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denileukin diftitox inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9160","description":"Denileukin diftitox inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00880","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00880","description":"CPT-00880","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD206","description":"HIPPS-HD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov/replc penis pros comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54411","description":"Remov/replc penis pros comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess hlth/behave subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96151","description":"Assess hlth/behave subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5112","description":"Urinary leg bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corplex P_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4231","description":"Corplex P_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0431","description":"Rotary wing air transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fentanyl citrate injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3010","description":"Fentanyl citrate injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical_ with frontal sinus exploration_ including removal of tissue from frontal sinus_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31276","description":"Nasal/sinus endoscopy_ surgical_ with frontal sinus exploration_ including removal of tissue from frontal sinus_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye suture during surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67335","description":"Eye suture during surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8X","description":"HIPPS-RHA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC35","description":"HIPPS-RHC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No electrodiag polyneuro 6mn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3752F","description":"No electrodiag polyneuro 6mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc comm risk calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9316","description":"Doc comm risk calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC214","description":"HIPPS-PC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67808","description":"Remove eyelid lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9054","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9054","description":"HCPCS-J9054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429T","description":"Rmvl nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11B","description":"HIPPS-HD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinusitis comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9464","description":"Sinusitis comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unknwn nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9108","description":"Onc dx pancreatic unknwn nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 2-3 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22808","description":"Ant fusion 2-3 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensve oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0150","description":"Comprehensve oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthes w/o adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8030","description":"Breast prosthes w/o adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1103","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1103","description":"CDT-D1103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sympt sten-tia/strk<120days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9006F","description":"Sympt sten-tia/strk<120days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26725","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25515","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cine/video x-rays add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76125","description":"Cine/video x-rays add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telecare equipment installation and removal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W2024","description":"Telecare equipment installation and removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB03","description":"HIPPS-RMB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11772","description":"Remove pilonidal cyst compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PLCG2 (phospholipase C gamma 2) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ R665W_ S707F_ L845F)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81320","description":"PLCG2 (phospholipase C gamma 2) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ R665W_ S707F_ L845F)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty w/cp bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33403","description":"Valvuloplasty w/cp bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place po breast cath for rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19296","description":"Place po breast cath for rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro acetabuloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29915","description":"Hip arthro acetabuloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1084","description":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Measles and rubella virus vaccine_ live_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90708","description":"Measles and rubella virus vaccine_ live_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27826","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior management","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9920","description":"Behavior management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES351","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES351","description":"HIPPS-ES351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9817","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9817","description":"HCPCS-C9817","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKX","description":"HIPPS-5CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear exam of tear flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78660","description":"Nuclear exam of tear flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1804","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1804","description":"CDT-D1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23155","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC02","description":"HIPPS-RMC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22C","description":"HIPPS-LD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPX","description":"HIPPS-3CFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21B","description":"HIPPS-HE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26685","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4D","description":"HIPPS-RLA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92992","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28I","description":"HIPPS-CE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column adl seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22208","description":"Incis spine 3 column adl seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKX","description":"HIPPS-5BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01940","description":"CPT-01940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61880","description":"Revise/remove neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE144","description":"HIPPS-LE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00537","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00537","description":"CPT-00537","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No impr vis acuit w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9517","description":"No impr vis acuit w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cell enumeration phys interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86153","description":"Cell enumeration phys interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC31","description":"HIPPS-RHC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fas/dir ldl 70-189mg/dl mst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9666","description":"Fas/dir ldl 70-189mg/dl mst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Use of speech device service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92609","description":"Use of speech device service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23700","description":"Fixation of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/bypass exten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33256","description":"Ablate atria w/bypass exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA31","description":"HIPPS-RHA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24301","description":"Muscle/tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24900","description":"Amputation of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivitive_ genvisc 850_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7320","description":"Hyaluronan or derivitive_ genvisc 850_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK2","description":"HIPPS-1CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0950","description":"Tray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12D","description":"HIPPS-LD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stance phase only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5858","description":"Stance phase only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood culture for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87040","description":"Blood culture for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00520","description":"CPT-00520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corticorelin ovine triflutal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0795","description":"Corticorelin ovine triflutal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20B","description":"HIPPS-LB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stem cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86367","description":"Stem cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pleurodesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32650","description":"Thoracoscopy w/pleurodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3389","description":"HCPCS-J3389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63053","description":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61526","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ disp_ binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5263","description":"Hearing aid_ disp_ binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 bodytemp >=35.5cw/in 30min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4559F","description":"1 bodytemp >=35.5cw/in 30min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bilat space maintain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1525","description":"Remove bilat space maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK3","description":"HIPPS-1AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Waist belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2190","description":"Waist belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48140","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12B","description":"HIPPS-LC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor intestine/artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44721","description":"Prep donor intestine/artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hmes filter holder or cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7503","description":"Hmes filter holder or cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052A","description":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0543T","description":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0811T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21470","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - soft appliance_ full arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9945","description":"Occlusal guard - soft appliance_ full arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4387","description":"HCPCS-Q4387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9481","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50430","description":"Njx px nfrosgrm &/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inr measurement performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3555F","description":"Pt inr measurement performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24116","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gabapentin non-blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80355","description":"Gabapentin non-blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPS","description":"HIPPS-1CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole (abilify asimtufii)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0402","description":"Injection_ aripiprazole (abilify asimtufii)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91323","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91323","description":"CPT-91323","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5C","description":"HIPPS-RMC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise vag graft via vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57295","description":"Revise vag graft via vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special teletx port plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77321","description":"Special teletx port plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.5cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11640","description":"Exc f/e/e/n/l mal+mrg 0.5cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ ns_ non-hdrir-192","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1719","description":"Brachytx_ ns_ non-hdrir-192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/up stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52342","description":"Cysto w/up stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m fanolesomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9566","description":"Tc99m fanolesomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB23","description":"HIPPS-RUB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DuoAmnion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4327","description":"DuoAmnion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA116","description":"HIPPS-PA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73120","description":"X-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57270","description":"Repair of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18C","description":"HIPPS-PE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7667","description":"Metaproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC240","description":"HIPPS-PC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic decompression of spinal cord_ nerve root(s)_ including laminotomy_ partial facetectomy_ foraminotomy_ discectomy and/or excision of herniated intervertebral disc_ 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62380","description":"Endoscopic decompression of spinal cord_ nerve root(s)_ including laminotomy_ partial facetectomy_ foraminotomy_ discectomy and/or excision of herniated intervertebral disc_ 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonstnd lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0581","description":"Nonstnd lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0149U","description":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explr/decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67414","description":"Explr/decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99375","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0155U","description":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Survey not complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0914","description":"Survey not complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin a1c level is missing_ or was not performed during the measurement period (12 months)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1212","description":"Hemoglobin a1c level is missing_ or was not performed during the measurement period (12 months)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9310","description":"Injection_ rituximab_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM5","description":"HIPPS-4BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ evinacumab-dgnb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1305","description":"Injection_ evinacumab-dgnb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg <=16 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6237","description":"Hydrocolld drg <=16 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counseling for the control and prevention of adverse oral_ behavioral_ and systemic health effects associated with high-risk substance use","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1321","description":"Counseling for the control and prevention of adverse oral_ behavioral_ and systemic health effects associated with high-risk substance use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal tamp_ silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1814","description":"Retinal tamp_ silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle Insertion(S) Without Injection(S); 1 Or 2 Muscle(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20560","description":"Needle Insertion(S) Without Injection(S); 1 Or 2 Muscle(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of mammary ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77054","description":"X-ray of mammary ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX22","description":"HIPPS-RLX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES245","description":"HIPPS-ES245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB50","description":"HIPPS-RVB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntsty modul rad tx dlvr smpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77385","description":"Ntsty modul rad tx dlvr smpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 3 (HIPPS rate code)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 3 (HIPPS rate code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky =50)_ cardiac c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2207","description":"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky =50)_ cardiac c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluphenazine decanoate 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2680","description":"Fluphenazine decanoate 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98015","description":"CPT-98015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevat legrst low extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0046","description":"Elevat legrst low extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMX","description":"HIPPS-3AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No off assis eol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9382","description":"No off assis eol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKT","description":"HIPPS-4CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Childbirth refresher class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9437","description":"Childbirth refresher class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50722","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular diagnostic test reader_ nonprescription self-administered and self-collected use_ fda approved_ authorized or cleared","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1035","description":"Molecular diagnostic test reader_ nonprescription self-administered and self-collected use_ fda approved_ authorized or cleared","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis machine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1590","description":"Hemodialysis machine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotid/inom art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36222","description":"Place cath carotid/inom art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0503","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0503","description":"CDT-D0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl devital tis 20 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97597","description":"Rmvl devital tis 20 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruct lesion 15 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17111","description":"Destruct lesion 15 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26605","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKU","description":"HIPPS-1BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1001","description":"HCPCS-C1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endo perq dx w/speci","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47552","description":"Biliary endo perq dx w/speci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appliance removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7997","description":"Appliance removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47711","description":"Excision of bile duct tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA106","description":"HIPPS-BA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18F","description":"HIPPS-HB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP02","description":"HIPPS-ATP02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj beta interferon sq 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3028","description":"Inj beta interferon sq 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incid ct liver/kid/adre fdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9547","description":"Incid ct liver/kid/adre fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3D","description":"HIPPS-RUC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNV","description":"HIPPS-1AHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ necitumumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9295","description":"Injection_ necitumumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Written discharge instr prvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4014F","description":"Written discharge instr prvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization was not administered for reasons documented by clinician (e.g._ patient allergy or other medical reasons_ patient declined or other patient reasons_ vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1300","description":"Influenza immunization was not administered for reasons documented by clinician (e.g._ patient allergy or other medical reasons_ patient declined or other patient reasons_ vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paramed intrcept nonvol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0208","description":"Paramed intrcept nonvol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo spine n generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63685","description":"Insrt/redo spine n generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No surg site infection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9311","description":"No surg site infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50972","description":"Ureter endoscopy & catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22600","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL1","description":"HIPPS-4CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDerm C_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2018","description":"PermeaDerm C_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye muscle evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92265","description":"Eye muscle evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain for barrier fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4425","description":"Ost pch drain for barrier fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and negative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9923","description":"Safety concerns screen provided and negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67800","description":"Remove eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15833","description":"Excise excessive skin leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27280","description":"Fusion of sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil three surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2430","description":"Dental gold foil three surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM3","description":"HIPPS-2CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47135","description":"Transplantation of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1075T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1075T","description":"CPT-1075T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1832","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1832","description":"HCPCS-E1832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMV","description":"HIPPS-1BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp duct stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43274","description":"Ercp duct stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation upper jaw artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30920","description":"Ligation upper jaw artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82330","description":"Assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect fibula tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27646","description":"Resect fibula tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic mens shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3221","description":"Orthopedic mens shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13B","description":"HIPPS-CE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87592","description":"N.gonorrhoeae dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX05","description":"HIPPS-RUX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1221","description":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/revise wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25320","description":"Repair/revise wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy clamp_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4363","description":"Ostomy clamp_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4A","description":"HIPPS-RMA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx periorbital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21386","description":"Opn tx orbit fx periorbital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK1","description":"HIPPS-1AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE250","description":"HIPPS-HE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64821","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq&ic allg test drugs/biol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95018","description":"Perq&ic allg test drugs/biol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0628T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate inf turbinate submuc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30802","description":"Ablate inf turbinate submuc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0703","description":"HCPCS-A0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10D","description":"HIPPS-HB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35261","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12A","description":"HIPPS-HC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression bandage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8431","description":"Compression bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36660","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apligraf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4101","description":"Apligraf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE146","description":"HIPPS-CE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2216","description":"Foam filled propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99308","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8B","description":"HIPPS-RLA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin & tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15839","description":"Excise excess skin & tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68040","description":"Treatment of eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1001","description":"Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quick disconn hook adapter o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6628","description":"Quick disconn hook adapter o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm order/admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4037F","description":"Influenza imm order/admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD130","description":"HIPPS-LD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK5","description":"HIPPS-1BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12C","description":"HIPPS-PC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB136","description":"HIPPS-LB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLU","description":"HIPPS-4BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report_ unilateral or b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92242","description":"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report_ unilateral or b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13102","description":"Cmplx rpr trunk addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure ureter/bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50930","description":"Closure ureter/bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51700","description":"Irrigation of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - comprehensive series of radiographic images - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0387","description":"intraoral tomosynthesis - comprehensive series of radiographic images - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket brim cust fit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4030","description":"Replace socket brim cust fit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18I","description":"HIPPS-BA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49605","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic outlet reduction_ gastric pouch application_ with endoscopy and intraluminal tube insertion_ if performed_ including all system and tissue anchoring components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9785","description":"Endoscopic outlet reduction_ gastric pouch application_ with endoscopy and intraluminal tube insertion_ if performed_ including all system and tissue anchoring components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPT","description":"HIPPS-3AHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orth dev repair/repl minor p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4210","description":"Orth dev repair/repl minor p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18I","description":"HIPPS-CD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC53","description":"HIPPS-RVC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0C","description":"HIPPS-RVC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D8671","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D8671","description":"CDT-D8671","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec or comb vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0484","description":"Monitor elec or comb vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunodiffusion ouchterlony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86331","description":"Immunodiffusion ouchterlony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft ft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4268","description":"Surgraft ft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8I","description":"HIPPS-RVX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of triglycerides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84478","description":"Assay of triglycerides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23A","description":"HIPPS-LC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC210","description":"HIPPS-LC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial brush biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31717","description":"Bronchial brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-inhalation drug for dme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7799","description":"Non-inhalation drug for dme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g procaine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2510","description":"Penicillin g procaine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1403","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1403","description":"CDT-D1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cylinder tank carrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2208","description":"Cylinder tank carrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8460","description":"Shrinker above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM2","description":"HIPPS-3AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0090U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody testing for a public health related pathogen_ including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0605","description":"Antibody testing for a public health related pathogen_ including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96373","description":"Ther/proph/diag inj ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL46","description":"HIPPS-RHL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99238","description":"Hospital discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj metaraminol bitartrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0380","description":"Inj metaraminol bitartrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM4","description":"HIPPS-2CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methocarbamol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2800","description":"Methocarbamol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18F","description":"HIPPS-CB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr/aicd combination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1899","description":"Lead_ pmkr/aicd combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3C","description":"HIPPS-RMX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0C","description":"HIPPS-AAA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transducer protect/fld bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1575","description":"Transducer protect/fld bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27532","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL23","description":"HIPPS-RUL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tendon for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20924","description":"Removal of tendon for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA231","description":"HIPPS-PA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLX","description":"HIPPS-3BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0869","description":"Pwc gp 4 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22A","description":"HIPPS-PA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug service 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0050","description":"Alcohol/drug service 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise temple bone implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69718","description":"Revise temple bone implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test antiglob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86922","description":"Compatibility test antiglob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22D","description":"HIPPS-LE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ceftriaxone sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0696","description":"Ceftriaxone sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0504","description":"HCPCS-C0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC212","description":"HIPPS-PC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES155","description":"HIPPS-ES155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult epiderm grft f/n/hfg +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15157","description":"Cult epiderm grft f/n/hfg +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB41","description":"HIPPS-RMB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ep & ablate ventric tachy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93654","description":"Ep & ablate ventric tachy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inner ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69949","description":"Inner ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21050","description":"Removal of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death occurring after discharge from the hospital but within 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9816","description":"Death occurring after discharge from the hospital but within 30 days post procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98004","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98004","description":"CPT-98004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22D","description":"HIPPS-BA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0702T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Localized delivery antimicro","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4381","description":"Localized delivery antimicro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38101","description":"Removal of spleen partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv adrenrg inervj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95922","description":"Autonomic nrv adrenrg inervj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient safety and support of positive experiences with anesthesia mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0059","description":"Patient safety and support of positive experiences with anesthesia mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15951","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0734T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt pt opt alterna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9059","description":"Onc prac mgmt pt opt alterna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL3","description":"HIPPS-1AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ccnd1/Igh (T(11;14)) (Eg_ Mantle Cell Lymphoma) Translocation Analysis_ Major Breakpoint_ Qualitative And Quantitative_ If Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81168","description":"Ccnd1/Igh (T(11;14)) (Eg_ Mantle Cell Lymphoma) Translocation Analysis_ Major Breakpoint_ Qualitative And Quantitative_ If Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth stimulation gene 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83006","description":"Growth stimulation gene 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0488T","description":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air polymer-type A intrauterine foam_ 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9574","description":"Air polymer-type A intrauterine foam_ 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18G","description":"HIPPS-ES18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX46","description":"HIPPS-RVX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t4_ n0 w/o prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9085","description":"Onc dx colon t4_ n0 w/o prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7660","description":"Isoproterenol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1096","description":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr att- conv 1 arm drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0958","description":"Whlchr att- conv 1 arm drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25670","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexrazoxane hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1190","description":"Dexrazoxane hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0487U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0487U","description":"CPT-0487U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta)_ quantification_ including reverse transcription_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87523","description":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta)_ quantification_ including reverse transcription_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise windpipe scar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31830","description":"Revise windpipe scar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tob user recd cess interv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9458","description":"Tob user recd cess interv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA154","description":"HIPPS-PA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL5","description":"HIPPS-4BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2791","description":"Crown full cast base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28110","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11624","description":"Exc s/n/h/f/g mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toe loop/holder_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0952","description":"Toe loop/holder_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical collar molded to pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0170","description":"Cervical collar molded to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18I","description":"HIPPS-LB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; other source_ quantitative_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82042","description":"Albumin; other source_ quantitative_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8668","description":"Fun stat score ue < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-1-antitrypsin pheno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82104","description":"Alpha-1-antitrypsin pheno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resin one surface-anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2330","description":"Resin one surface-anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins mark abd/pel for rt perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49411","description":"Ins mark abd/pel for rt perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29425","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ArdeoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4333","description":"ArdeoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroflex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4125","description":"Arthroflex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral surgery procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7999","description":"Oral surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care prof for COVID-19_ ages under 21_ 16-30 minutes time (This code is used for the Medicaid EPSDT)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0314","description":"Imm counseling by a physician or other qualified health care prof for COVID-19_ ages under 21_ 16-30 minutes time (This code is used for the Medicaid EPSDT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27326","description":"Neurectomy popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12A","description":"HIPPS-CB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tetracyclin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0120","description":"Tetracyclin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8E","description":"HIPPS-RLA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mirror coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2761","description":"Mirror coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33369","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1416","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1416","description":"HCPCS-M1416","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair clitoris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56805","description":"Repair clitoris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad glove heavy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8426","description":"Custom grad glove heavy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA44","description":"HIPPS-RLA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Op rad mg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9236","description":"Op rad mg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99411","description":"Preventive counseling group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trifoc prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0508","description":"Trifoc prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0220","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 tositumomab_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9545","description":"I131 tositumomab_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatric symp absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1183F","description":"Neuropsychiatric symp absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal fat absorpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3708","description":"Gastrointestinal fat absorpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of esophagus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43101","description":"Excision of esophagus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25575","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7670","description":"Metaproterenol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11101","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431T","description":"Rmvl/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor_ ear level_ replacement_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8624","description":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor_ ear level_ replacement_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59135","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43341","description":"Fuse esophagus & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12C","description":"HIPPS-HC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC14","description":"HIPPS-RHC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin immune fab (ovine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1162","description":"Digoxin immune fab (ovine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Casting/strapping procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29799","description":"Casting/strapping procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & remove clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61154","description":"Pierce skull & remove clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21240","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of palm tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26170","description":"Removal of palm tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3105","description":"Terbutaline sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dsg wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6024","description":"Collagen dsg wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of left heart vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33988","description":"Insertion of left heart vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt_ strap_ sleeve_ garment_ or covering_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4467","description":"Belt_ strap_ sleeve_ garment_ or covering_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87530","description":"Hsv dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cer post col occ/man sup adj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0180","description":"Cer post col occ/man sup adj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31257","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0560U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0560U","description":"CPT-0560U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14C","description":"HIPPS-CB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15200","description":"Skin full graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9998","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9998","description":"HCPCS-Q9998","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90281","description":"Human ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedging of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29740","description":"Wedging of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumb artif diskectomy addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163T","description":"Lumb artif diskectomy addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal 6.1 to 10mg bupre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0574","description":"Bupren/nal 6.1 to 10mg bupre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMX","description":"HIPPS-4CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE220","description":"HIPPS-HE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9949","description":"Leg pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Novafix dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4254","description":"Novafix dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-vertebrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35645","description":"Art byp subclav-vertebrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal bicuspid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3347","description":"Retreat root canal bicuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed adjust armrest pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0020","description":"Fixed adjust armrest pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPS","description":"HIPPS-3AGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g. virtual check-in_ by a qualified health care professional who cannot report evaluation and management services_ provided to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2251","description":"Brief communication technology-based service_ e.g. virtual check-in_ by a qualified health care professional who cannot report evaluation and management services_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50630","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts pt no e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8673","description":"Fun stat scor nek/ts pt no e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ reslizumab_ 1 mg (Cinqair)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9481","description":"Injection_ reslizumab_ 1 mg (Cinqair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth biopsy of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16451","description":"Anesth biopsy of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKV","description":"HIPPS-4BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01916","description":"CPT-01916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6935","description":"Below elbow myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20C","description":"HIPPS-CE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18D","description":"HIPPS-HB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC55","description":"HIPPS-RMC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meg evoked each addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95967","description":"Meg evoked each addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Propulsion whl excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2224","description":"Propulsion whl excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP1","description":"HIPPS-3AGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14B","description":"HIPPS-PC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML51","description":"HIPPS-RML51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC104","description":"HIPPS-CC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of g6pd enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82955","description":"Assay of g6pd enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation by ocularist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9150","description":"Evaluation by ocularist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped complete intact nut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4158","description":"Ef ped complete intact nut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna amplified probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87150","description":"Dna/rna amplified probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch support remov prem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3030","description":"Foot arch support remov prem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL56","description":"HIPPS-RUL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-serv of ot_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0152","description":"Hhcp-serv of ot_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73115","description":"Contrast x-ray of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMS","description":"HIPPS-2BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guided tissue regeneration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3432","description":"Guided tissue regeneration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vasectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92151","description":"Anesth vasectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26675","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK5","description":"HIPPS-1CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethylene glycol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82693","description":"Assay of ethylene glycol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77431","description":"Radiation therapy management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25C","description":"HIPPS-LE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLS","description":"HIPPS-4AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral pump diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9342","description":"Hit enteral pump diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ palonosetron HCl (Avyxa)_ not therapeutically equivalent to J2469_ 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2468","description":"Injection_ palonosetron HCl (Avyxa)_ not therapeutically equivalent to J2469_ 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNU","description":"HIPPS-1BHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60252","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen Test For Platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9987","description":"Pathogen Test For Platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid duct lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60281","description":"Remove thyroid duct lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1C","description":"HIPPS-RVA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for tear sac x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68850","description":"Injection for tear sac x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admission to mccm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9480","description":"Admission to mccm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505F","description":"Hemodialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27041","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0211","description":"Injection_ sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ drainage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1729","description":"Cath_ drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1837","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1837","description":"HCPCS-J1837","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod or severe osa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8846","description":"Mod or severe osa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6524","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating at or above the he","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93587","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating at or above the he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8C","description":"HIPPS-RUA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexion/extension wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6620","description":"Flexion/extension wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1383","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1383","description":"HCPCS-M1383","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx post pelvic fxcture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0415","description":"Open tx post pelvic fxcture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay toxin or antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87230","description":"Assay toxin or antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0548U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0548U","description":"CPT-0548U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15015","description":"CPT-15015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB150","description":"HIPPS-BB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB45","description":"HIPPS-RUB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp >/= 140 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3077F","description":"Syst bp >/= 140 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone_ (Uzedy)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9158","description":"Injection_ risperidone_ (Uzedy)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2126","description":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1401","description":"CDT-D1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16375","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16375","description":"CPT-16375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiocentesis_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33016","description":"Pericardiocentesis_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen w/c cushion wdth >=22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2602","description":"Gen w/c cushion wdth >=22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ofatumumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9302","description":"Ofatumumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24D","description":"HIPPS-PE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carbon graphite lamination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2755","description":"Carbon graphite lamination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/o manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21310","description":"Closed tx nose fx w/o manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19499","description":"Breast surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14D","description":"HIPPS-PC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMW","description":"HIPPS-3AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLS","description":"HIPPS-4CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99305","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2B","description":"HIPPS-RMA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11426","description":"Exc h-f-nk-sp b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduce bowel obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44050","description":"Reduce bowel obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14060","description":"Tis trnfr e/n/e/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72192","description":"Ct pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place perm pacing cardiovert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0448","description":"Place perm pacing cardiovert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Report_ prev care measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8486","description":"Report_ prev care measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90624","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90624","description":"CPT-90624","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sheath upper limb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8415","description":"Sheath upper limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK1","description":"HIPPS-5CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med nutrition indiv subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97803","description":"Med nutrition indiv subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us quant a only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76511","description":"Ophth us quant a only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9321","description":"Doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Counsel prov driving risks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6110F","description":"Counsel prov driving risks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg urin trac obstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2401","description":"Fetal surg urin trac obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Primatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4110","description":"Primatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv sr wire occ/man pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0160","description":"Cerv sr wire occ/man pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Discharge(s) for AMI between July 1 of the year prior measurement year to June 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9798","description":"Discharge(s) for AMI between July 1 of the year prior measurement year to June 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin k phytonadione inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3430","description":"Vitamin k phytonadione inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67973","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21A","description":"HIPPS-HE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vital capacity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94150","description":"Vital capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1469","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1469","description":"HCPCS-M1469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryo-Cord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4237","description":"Cryo-Cord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) Pain At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (V","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2139","description":"Back Pain Measured By The Visual Analog Scale (Vas) Pain At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (V","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scope plantar fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29893","description":"Scope plantar fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect phalanx of toe tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28175","description":"Resect phalanx of toe tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood harvesting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2140","description":"Cord blood harvesting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082U","description":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L2221","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2221","description":"HCPCS-L2221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no elig for bp assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8784","description":"Pt no elig for bp assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK1","description":"HIPPS-4AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lrh hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83727","description":"Assay of lrh hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90476","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ imipenem 4mg_ cilastatin 4 mg and relebactam 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0742","description":"Injection_ imipenem 4mg_ cilastatin 4 mg and relebactam 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9275","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9275","description":"HCPCS-J9275","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serotonin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84260","description":"Assay of serotonin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Naltrexone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Tes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2073","description":"Medication Assisted Treatment_ Naltrexone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Tes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15999","description":"Removal of pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0848T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron microscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88348","description":"Electron microscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder/vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51900","description":"Repair bladder/vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB105","description":"HIPPS-BB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advanced life support mileag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0390","description":"Advanced life support mileag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surg dx exam anorectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45990","description":"Surg dx exam anorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat ht <17 or >=21 ltwt wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0056","description":"Seat ht <17 or >=21 ltwt wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29821","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8F","description":"HIPPS-RHX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2D","description":"HIPPS-RLB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pin hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26676","description":"Pin hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8C","description":"HIPPS-RLA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removable prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5899","description":"Removable prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5D","description":"HIPPS-RUA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj plantar digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64455","description":"N block inj plantar digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound breast complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76641","description":"Ultrasound breast complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012U","description":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther behav svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2020","description":"Ther behav svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0623T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise epiphyseal bar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20150","description":"Excise epiphyseal bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13153","description":"Cmplx rpr e/n/e/l addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgimend_ neonatal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9360","description":"Surgimend_ neonatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66991","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28D","description":"HIPPS-CA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia interven order","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4525F","description":"Neuropsychia interven order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-ophthalmic fva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9733","description":"Non-ophthalmic fva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ pelvis and hips_ infant or child_ minimum of two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73540","description":"Radiologic examination_ pelvis and hips_ infant or child_ minimum of two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mumps virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90704","description":"Mumps virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27000","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5156","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5156","description":"HCPCS-Q5156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin and muscle repair face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15845","description":"Skin and muscle repair face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4B","description":"HIPPS-RMX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serum clotting time tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4771","description":"Serum clotting time tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/oxygen titrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94453","description":"Hast w/oxygen titrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co-morbid condition assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1026F","description":"Co-morbid condition assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95147","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paliperidone palmitate extended release (invega hafyera_ or invega trinza)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2427","description":"Injection_ paliperidone palmitate extended release (invega hafyera_ or invega trinza)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45114","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of topiramate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80201","description":"Assay of topiramate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9247","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9247","description":"CDT-D9247","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental prophylaxis child","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1120","description":"Dental prophylaxis child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8C","description":"HIPPS-RHB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epilepsy Genomic Sequence Analysis Panel_ Must Include Analyses For Aldh7A1_ Cacna1A_ Cdkl5_ Chd2_ Gabrg2_ Grin2A_ Kcnq2_ Mecp2_ Pcdh19_ Polg_ Prrt2_ Scn1A_ Scn1B_ Scn2A_ Scn8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81419","description":"Epilepsy Genomic Sequence Analysis Panel_ Must Include Analyses For Aldh7A1_ Cacna1A_ Cdkl5_ Chd2_ Gabrg2_ Grin2A_ Kcnq2_ Mecp2_ Pcdh19_ Polg_ Prrt2_ Scn1A_ Scn1B_ Scn2A_ Scn8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB131","description":"HIPPS-CB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed var ht w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0256","description":"Hospital bed var ht w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit blood products diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9538","description":"Hit blood products diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8G","description":"HIPPS-RHA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72133","description":"Ct lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wig any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9282","description":"Wig any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0402","description":"HCPCS-B0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic control thoracic ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2660","description":"Thoracic control thoracic ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2003","description":"HCPCS-B2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Middle cerebral artery echo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76821","description":"Middle cerebral artery echo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK4","description":"HIPPS-4BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vertbr dcmprn thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63087","description":"Remov vertbr dcmprn thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB60","description":"HIPPS-RMB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dwelling lead investigation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1029","description":"Dwelling lead investigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88302","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair iris & ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66682","description":"Repair iris & ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza antibdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86684","description":"Hemophilus influenza antibdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Polatuzumab Vedotin-Piiq_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9309","description":"Injection_ Polatuzumab Vedotin-Piiq_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Weight mgmt class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9449","description":"Weight mgmt class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33788","description":"Revision of pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40520","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with nonreactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1231","description":"Patient receives hcv antibody test with nonreactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin pneumococcal vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0009","description":"Admin pneumococcal vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35276","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44361","description":"Small bowel endoscopy/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4354","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4354","description":"HCPCS-Q4354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8B","description":"HIPPS-RUB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So hard plas stabili pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3677","description":"So hard plas stabili pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1805","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1805","description":"CDT-D1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA11","description":"HIPPS-RLA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto fluid redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88175","description":"Cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML12","description":"HIPPS-RML12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0140U","description":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1029T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1029T","description":"CPT-1029T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD225","description":"HIPPS-HD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/enterocele compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58294","description":"Vag hyst w/enterocele compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement blood pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1620","description":"Replacement blood pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27685","description":"Revision of lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5165","description":"HCPCS-Q5165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLV","description":"HIPPS-2CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP2","description":"HIPPS-1BHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ naloxone hydrochloride (zimhi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2311","description":"Injection_ naloxone hydrochloride (zimhi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES313","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES313","description":"HIPPS-ES313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect recur gyn mal w/lym","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58958","description":"Resect recur gyn mal w/lym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28D","description":"HIPPS-LB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast rad urban type","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19306","description":"Mast rad urban type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision gum each quadrant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41820","description":"Excision gum each quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP21","description":"HIPPS-ATP21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21630","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy intraperitoneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57283","description":"Colpopexy intraperitoneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease progn ra good docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3476F","description":"Disease progn ra good docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384T","description":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk knee joints single axis p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5676","description":"Bk knee joints single axis p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPT","description":"HIPPS-1BGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lateral trochanteric pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1290","description":"Lateral trochanteric pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1091T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1091T","description":"CPT-1091T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22C","description":"HIPPS-CB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo radical nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50545","description":"Laparo radical nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL25","description":"HIPPS-RHL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX26","description":"HIPPS-RVX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN1","description":"HIPPS-3CFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloroprocaine hcl ophthalmic_ 3% gel_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2403","description":"Chloroprocaine hcl ophthalmic_ 3% gel_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53454","description":"Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0835","description":"Pwc gp2 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Highly Complex Clinical Problem_ With Comprehensive Review Of Patient_S History And Medical Records And High Level Of Medical Decision M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80505","description":"Pathology Clinical Consultation; For A Highly Complex Clinical Problem_ With Comprehensive Review Of Patient_S History And Medical Records And High Level Of Medical Decision M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80343","description":"Antipsychotics nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneum compressor segmental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0651","description":"Pneum compressor segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/clin ascvd dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9674","description":"Pt w/clin ascvd dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray strenoclavic jt 3/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71130","description":"X-ray strenoclavic jt 3/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Devlopment test interpt&rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0451","description":"Devlopment test interpt&rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLW","description":"HIPPS-3CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement & contouring","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6102","description":"Debridement & contouring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24D","description":"HIPPS-PB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM4","description":"HIPPS-3AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD235","description":"HIPPS-CD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio-Maxx or Amnio Maxx Lite_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4239","description":"Amnio-Maxx or Amnio Maxx Lite_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37275","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37275","description":"CPT-37275","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no min inv dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8876","description":"Doc reas no min inv dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35632","description":"Art byp ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB34","description":"HIPPS-RUB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKW","description":"HIPPS-1AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture aerobic identify","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87077","description":"Culture aerobic identify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24D","description":"HIPPS-HB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optokinetic nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92534","description":"Optokinetic nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had one or less emergency department visits in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9851","description":"Patient had one or less emergency department visits in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77090","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21C","description":"HIPPS-CD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD214","description":"HIPPS-CD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serum immunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86320","description":"Serum immunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8F","description":"HIPPS-RHA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fascia for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20920","description":"Removal of fascia for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38505","description":"Needle biopsy lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB120","description":"HIPPS-BB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of CHA2DS2-VASc risk score of 0 or 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9931","description":"Documentation of CHA2DS2-VASc risk score of 0 or 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elisa hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0433","description":"Elisa hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qty act mcc mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9670","description":"Qty act mcc mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (Xellia)_ unrefrigerated_ not therapeutically equivalent to J0878 or J0873_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0872","description":"Injection_ daptomycin (Xellia)_ unrefrigerated_ not therapeutically equivalent to J0878 or J0873_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vascular surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37799","description":"Vascular surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation without programming of implanted phrenic nerve stimulator system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93153","description":"Interrogation without programming of implanted phrenic nerve stimulator system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine cerv/thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62310","description":"Inject spine cerv/thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Was Not Prescribed_ Reason Not","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2096","description":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Was Not Prescribed_ Reason Not","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66720","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin Light Chains (Ie_ Kappa_ Lambda)_ Free_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83521","description":"Immunoglobulin Light Chains (Ie_ Kappa_ Lambda)_ Free_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat each add spine fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22328","description":"Treat each add spine fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive ear canal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69150","description":"Extensive ear canal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht pharm per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9810","description":"Ht pharm per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0538","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0538","description":"HCPCS-G0538","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1085","description":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP1","description":"HIPPS-1BFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prolactin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84146","description":"Assay of prolactin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder flexion-abduction j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6645","description":"Shoulder flexion-abduction j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no hx act drain 90 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8562","description":"Pt no hx act drain 90 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50740","description":"Fusion of ureter & kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0703T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9259","description":"Injection_ paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8000","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8000","description":"HCPCS-C8000","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37286","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37286","description":"CPT-37286","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block spenopalatine gangl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64505","description":"N block spenopalatine gangl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart image (pet) single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78491","description":"Heart image (pet) single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp fem-tibial peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35585","description":"Vein byp fem-tibial peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microprocessor control uplmb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6882","description":"Microprocessor control uplmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fusion direct any site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36821","description":"Av fusion direct any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endodontic endosseous implan","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3460","description":"Endodontic endosseous implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9896","description":"Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor xiii anti-hem factor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7180","description":"Factor xiii anti-hem factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Gemcitabine Hydrochloride (Infugem)_ 200 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9199","description":"Injection_ Gemcitabine Hydrochloride (Infugem)_ 200 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 auto platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9571","description":"Indium in-111 auto platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27254","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC235","description":"HIPPS-PC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ moderate to high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0528","description":"Management of established patient with dementia_ moderate to high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPW","description":"HIPPS-1BHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 13/> vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22804","description":"Post fusion 13/> vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant with bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32852","description":"Lung transplant with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abx pres w/in 10 dys of symp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9505","description":"Abx pres w/in 10 dys of symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote therapeutic monitoring (eg_ therapy adherence_ therapy response); device(s) supply with scheduled (eg_ daily) recording(s) and/or programmed alert(s) transmission to mo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98978","description":"Remote therapeutic monitoring (eg_ therapy adherence_ therapy response); device(s) supply with scheduled (eg_ daily) recording(s) and/or programmed alert(s) transmission to mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0076","description":"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dinutuximab_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1246","description":"Injection_ dinutuximab_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for external insulin infusion pump_ syringe type cartridge_ sterile_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4225","description":"Supplies for external insulin infusion pump_ syringe type cartridge_ sterile_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0328U","description":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL5","description":"HIPPS-2AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conductive garment for tens/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0731","description":"Conductive garment for tens/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5102","description":"Adult day care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive chest wall surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19272","description":"Extensive chest wall surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide nerv destr needle emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95874","description":"Guide nerv destr needle emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28298","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging of the head (CT or MRI) was not obtained_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1029","description":"Imaging of the head (CT or MRI) was not obtained_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt mand chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5731","description":"Denture reln cmplt mand chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34101","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shwr cov elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0501","description":"Shwr cov elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt_ pn_ hist grade not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8724","description":"Pt_ pn_ hist grade not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52317","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE105","description":"HIPPS-PE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye socket implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67560","description":"Revise eye socket implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrnl bleaching per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9974","description":"Intrnl bleaching per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vancomycin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3370","description":"Vancomycin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1C","description":"HIPPS-RHB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA53","description":"HIPPS-RHA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNV","description":"HIPPS-3CGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97009","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97009","description":"CPT-97009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynami afo pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4397","description":"Static or dynami afo pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMV","description":"HIPPS-4CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54220","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMV","description":"HIPPS-2CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped hospital bed_ manual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0328","description":"Ped hospital bed_ manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2C","description":"HIPPS-RHB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD116","description":"HIPPS-PD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA246","description":"HIPPS-CA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20102","description":"Explore wound abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/cont_ breast_ bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8906","description":"MRI w/cont_ breast_ bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of foot bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28288","description":"Partial removal of foot bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No conformal radn thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4182F","description":"No conformal radn thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92137","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92137","description":"CPT-92137","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porcine implant_ permacol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9364","description":"Porcine implant_ permacol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0776T","description":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63180","description":"Revise spinal cord ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/ tc 1 marker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88184","description":"Flowcytometry/ tc 1 marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor_ including system activation and patient training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0308","description":"Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor_ including system activation and patient training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE104","description":"HIPPS-HE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD145","description":"HIPPS-LD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophoretic test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82664","description":"Electrophoretic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA33","description":"HIPPS-RLA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK1","description":"HIPPS-4CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM2","description":"HIPPS-1BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0542T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0515T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN1","description":"HIPPS-3BGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or ProMatrX_ 0.36 mg per 0.25 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4174","description":"PalinGen or ProMatrX_ 0.36 mg per 0.25 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan flufenamide_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9247","description":"Injection_ melphalan flufenamide_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00530","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00530","description":"CPT-00530","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut rem dent part max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6112","description":"Imp/abut rem dent part max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20B","description":"HIPPS-CC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41828","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8D","description":"HIPPS-RUX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2B","description":"HIPPS-RMX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; With Continuous Oximetry Monitoring (Per Session)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94626","description":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; With Continuous Oximetry Monitoring (Per Session)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMX","description":"HIPPS-2BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23D","description":"HIPPS-ES23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5930","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5930","description":"CDT-D5930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX23","description":"HIPPS-RLX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18E","description":"HIPPS-LB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA23","description":"HIPPS-RVA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE221","description":"HIPPS-CE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-52597","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52597","description":"CPT-52597","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy vag method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58145","description":"Myomectomy vag method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part hand little/ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6010","description":"Part hand little/ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial four or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33536","description":"Cabg arterial four or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free/remove chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32320","description":"Free/remove chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP23","description":"HIPPS-ATP23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31624","description":"Dx bronchoscope/lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18G","description":"HIPPS-HD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX13","description":"HIPPS-RMX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25645","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phq-9 >9 during 12m time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9511","description":"Phq-9 >9 during 12m time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention On The Date Of The Encounter Or Within The Previous 12 Months (Counseling_ Pharmacotherapy_ Or Bot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0030","description":"Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention On The Date Of The Encounter Or Within The Previous 12 Months (Counseling_ Pharmacotherapy_ Or Bot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Structured Day Habilitation Group 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0105","description":"Structured Day Habilitation Group 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg >16<=48 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0745","description":"Absorp drg >16<=48 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4D","description":"HIPPS-RUB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1485","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1485","description":"HCPCS-M1485","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prkns diag rviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1400F","description":"Prkns diag rviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1356","description":"Patients who died during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1134","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-maly_ biosimilar_ (Alymsys)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9142","description":"Injection_ bevacizumab-maly_ biosimilar_ (Alymsys)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24D","description":"HIPPS-HE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_ domiciliary_ rest home_ assi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2014","description":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiaryās home_ domiciliary_ rest home_ assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA14","description":"HIPPS-RLA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42107","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA15","description":"HIPPS-RUA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone intra implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7312","description":"Dexamethasone intra implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine vma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84585","description":"Assay of urine vma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ furosemide (furoscix)_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1941","description":"Injection_ furosemide (furoscix)_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo dbl solid stirrup w/o j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2030","description":"Kafo dbl solid stirrup w/o j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AI IBD MRNA XPRSN PRFL 17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0203U","description":"AI IBD MRNA XPRSN PRFL 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2099","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of spermatic ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54900","description":"Fusion of spermatic ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18A","description":"HIPPS-CB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1pc ost pch drain hgh output","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4435","description":"1pc ost pch drain hgh output","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diskectomy_ anterior_ with d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2350","description":"Diskectomy_ anterior_ with d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cptr ophth dx img post segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92134","description":"Cptr ophth dx img post segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27497","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA117","description":"HIPPS-CA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1344","description":"Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3C","description":"HIPPS-RLX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE245","description":"HIPPS-PE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23515","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23076","description":"Exc shoulder tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consultation with a medical health care professional","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9311","description":"Consultation with a medical health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0285","description":"Amphotericin b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us nuchal meas 1 gest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76813","description":"Ob us nuchal meas 1 gest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27832","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tun ip cath w/port","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49419","description":"Insert tun ip cath w/port","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thor rib belt custom fabrica","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0220","description":"Thor rib belt custom fabrica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0558T","description":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6206","description":"Contact layer <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB145","description":"HIPPS-HB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD124","description":"HIPPS-PD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKX","description":"HIPPS-2CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xm archive tissue molec anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88363","description":"Xm archive tissue molec anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prim art m-thrmbc sbsq vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37185","description":"Prim art m-thrmbc sbsq vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable gaseous 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0431","description":"Portable gaseous 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj >24 hr in ed gcs <15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9532","description":"Inj >24 hr in ed gcs <15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg_ carrier testing)_ includes SMN2 (survival of motor neur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81329","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg_ carrier testing)_ includes SMN2 (survival of motor neur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ esmolol hydrochloride_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1805","description":"Injection_ esmolol hydrochloride_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5946","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5946","description":"CDT-D5946","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Certified translation or sign-language services per visit.","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9990","description":"Certified translation or sign-language services per visit.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirom doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3023F","description":"Spirom doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMW","description":"HIPPS-3CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0665","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0665","description":"HCPCS-G0665","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sheath below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8400","description":"Sheath below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy trisom risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009M","description":"Fetal aneuploidy trisom risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB144","description":"HIPPS-HB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj anticoag diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9372","description":"Ht inj anticoag diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50551","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA213","description":"HIPPS-PA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1299","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1299","description":"HCPCS-J1299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01670","description":"CPT-01670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0986T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0986T","description":"CPT-0986T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM6","description":"HIPPS-3BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj aspiration joint fluid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7870","description":"Tmj aspiration joint fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00942","description":"CPT-00942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder bone part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23130","description":"Remove shoulder bone part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1107T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1107T","description":"CPT-1107T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81175","description":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1242","description":"Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderna Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1711","description":"Moderna Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35302","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for cholangiogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47532","description":"Injection for cholangiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP1","description":"HIPPS-3BGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES105","description":"HIPPS-ES105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29405","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK1","description":"HIPPS-3CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53265","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation hemorrhoid w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249T","description":"Ligation hemorrhoid w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA60","description":"HIPPS-RMA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP5","description":"HIPPS-3BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deoxyribonuclease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86215","description":"Deoxyribonuclease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75870","description":"Vein x-ray skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve pedicle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64905","description":"Nerve pedicle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81558","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81558","description":"CPT-81558","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talimogene laherparepvec_ per 1 million plaque forming units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9325","description":"Injection_ talimogene laherparepvec_ per 1 million plaque forming units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sacituzumab govitecan-hziy_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9066","description":"Injection_ sacituzumab govitecan-hziy_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tx decision-mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9051","description":"Oncology tx decision-mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of cochlear implant_ patient younger than 7 years of age; subsequent reprogramming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92602","description":"Diagnostic analysis of cochlear implant_ patient younger than 7 years of age; subsequent reprogramming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPW","description":"HIPPS-1AFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent/ath/angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92933","description":"Prq card stent/ath/angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens pmma bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2502","description":"Contact lens pmma bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8694","description":"Lvef <40%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon hydrochloride/1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1610","description":"Glucagon hydrochloride/1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er+ or pr+ breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3315F","description":"Er+ or pr+ breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosaprepitant (teva)_ not therapeutically equivalent to j1453_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1456","description":"Injection_ fosaprepitant (teva)_ not therapeutically equivalent to j1453_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolate mofetil oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7517","description":"Mycophenolate mofetil oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro windpipe wire/tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31730","description":"Intro windpipe wire/tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap ing hernia repair init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49650","description":"Lap ing hernia repair init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9637","description":"At least two orders for the same high-risk medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48551","description":"Prep donor pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92993","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL6","description":"HIPPS-4CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of csw_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0155","description":"Hhcp-svs of csw_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth splitting","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3920","description":"Tooth splitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eval on foot not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8415","description":"Eval on foot not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrolyte panel this panel must include the following: carbon dioxide (82374) chloride (82435) potassium (84132) sodium (84295)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80051","description":"Electrolyte panel this panel must include the following: carbon dioxide (82374) chloride (82435) potassium (84132) sodium (84295)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81248","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA44","description":"HIPPS-RMA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Torsion mechanism knee/ankle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2861","description":"Torsion mechanism knee/ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11770","description":"Remove pilonidal cyst simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein amniotic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82106","description":"Alpha-fetoprotein amniotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00160","description":"CPT-00160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve pedicle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64907","description":"Nerve pedicle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB145","description":"HIPPS-BB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69716","description":"Implantation_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv 15-30mn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0396","description":"Alcohol/subs interv 15-30mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ak 4 bar link w/fric swing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5611","description":"Ak 4 bar link w/fric swing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps impltj nstim vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312T","description":"Laps impltj nstim vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36575","description":"Repair tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES326","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES326","description":"HIPPS-ES326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No interv req for leak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9305","description":"No interv req for leak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Olanzapine long-acting inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2358","description":"Olanzapine long-acting inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL5","description":"HIPPS-1BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; second","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22870","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; second","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interim abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6051","description":"Interim abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388U","description":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcochlear approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61596","description":"Transcochlear approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko single upright pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1843","description":"Ko single upright pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNW","description":"HIPPS-3AHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee sus/seal sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5685","description":"Below knee sus/seal sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch thermoplsty 2/> lobes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31661","description":"Bronch thermoplsty 2/> lobes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nandrolone decanoate 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2320","description":"Nandrolone decanoate 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN3","description":"HIPPS-3CGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28H","description":"HIPPS-PC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sys bp > or = 140","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8753","description":"Sys bp > or = 140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rural health clinic or federally qualified health center (RHC or FQHC) only_ general care management_ 20 minutes or more of clinical staff time for chronic care management ser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0511","description":"Rural health clinic or federally qualified health center (RHC or FQHC) only_ general care management_ 20 minutes or more of clinical staff time for chronic care management ser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18D","description":"HIPPS-HD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40810","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic compression controller without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0681","description":"Non-pneumatic compression controller without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) W","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2141","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-medical Transportation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6110","description":"Non-medical Transportation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt implant pros dev_no cov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9899","description":"Inpt implant pros dev_no cov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein e-phoresis/urine/csf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84166","description":"Protein e-phoresis/urine/csf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart image spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78494","description":"Heart image spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1802","description":"HCPCS-B1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0657","description":"Segmental pneumatic chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous islet celltrans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0341","description":"Percutaneous islet celltrans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stimulants synthetic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80371","description":"Stimulants synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLX","description":"HIPPS-2BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29836","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carboplatin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9045","description":"Carboplatin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7614","description":"Levalbuterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9771","description":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tobramycin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80200","description":"Assay of tobramycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18G","description":"HIPPS-CE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam for fungi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87220","description":"Tissue exam for fungi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25B","description":"HIPPS-CB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inner skull vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61702","description":"Inner skull vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who screened positive for at least 1 of the 5 hrsns","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1320","description":"Patients who screened positive for at least 1 of the 5 hrsns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polarization_ any lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2762","description":"Polarization_ any lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26843","description":"Fusion of hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipopro bld electrophoretic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83700","description":"Lipopro bld electrophoretic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal fluid tap diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62270","description":"Spinal fluid tap diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles multifocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92342","description":"Fit spectacles multifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diab manage trn per indiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0108","description":"Diab manage trn per indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK5","description":"HIPPS-5BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMU","description":"HIPPS-2BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA30","description":"HIPPS-RHA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Val rsn hd ct ord reg indic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9595","description":"Val rsn hd ct ord reg indic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI jnt of lwr extre w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73721","description":"MRI jnt of lwr extre w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB240","description":"HIPPS-BB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CoreCyte_ for topical use only_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4240","description":"CoreCyte_ for topical use only_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/bone grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21408","description":"Opn tx orbit fx w/bone grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4195","description":"PuraPly_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61540","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb plaster molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5510","description":"Prep bk ptb plaster molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive_ liquid or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4364","description":"Adhesive_ liquid or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKW","description":"HIPPS-5AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97018","description":"Paraffin bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enfuvirtide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1324","description":"Enfuvirtide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9713","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0493T","description":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ linezolid (hospira) not therapeutically equivalent to j2020_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2021","description":"Injection_ linezolid (hospira) not therapeutically equivalent to j2020_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK1","description":"HIPPS-1AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK2","description":"HIPPS-4BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 hd 301-450 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0807","description":"Pov group 2 hd 301-450 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grps & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46261","description":"Remove in/ex hem grps & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture screen only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87081","description":"Culture screen only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0537U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0537U","description":"CPT-0537U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMU","description":"HIPPS-4AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76978","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4C","description":"HIPPS-RLB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0612","description":"Annual gynecological examina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA60","description":"HIPPS-RUA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28D","description":"HIPPS-HB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe w/off set heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5506","description":"Diabetic shoe w/off set heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-60660","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60660","description":"CPT-60660","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25D","description":"HIPPS-HE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165T","description":"Revise lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES306","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES306","description":"HIPPS-ES306","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 22+ classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0483","description":"Drug test def 22+ classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl bleaching per arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9972","description":"Extrnl bleaching per arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKS","description":"HIPPS-5BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8A","description":"HIPPS-RLX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy rxd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8473","description":"Ace/arb thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal kidney open radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50230","description":"Removal kidney open radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray measurement of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74710","description":"X-ray measurement of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0836","description":"Pwc gp2 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLS","description":"HIPPS-2BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carbamazepine free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80157","description":"Assay carbamazepine free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE217","description":"HIPPS-PE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove armpit lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38745","description":"Remove armpit lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing serologic rh(d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86901","description":"Blood typing serologic rh(d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18E","description":"HIPPS-HD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 gozetotide_ diagnostic_ (Locametz)_1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9800","description":"Gallium Ga-68 gozetotide_ diagnostic_ (Locametz)_1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) was not sent from the pathologist/dermatopathologist to the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9786","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) was not sent from the pathologist/dermatopathologist to the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe solid stirrup new","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3630","description":"Trans shoe solid stirrup new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for therapeutic continuous glucose monitor (CGM)_ includes all supples and accessories_ 1 unit = 1 mo. supply","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0553","description":"Supply allowance for therapeutic continuous glucose monitor (CGM)_ includes all supples and accessories_ 1 unit = 1 mo. supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96931","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport bus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0110","description":"Nonemergency transport bus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1312","description":"Patient not screened for tobacco use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpt clinic visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0463","description":"Hospital outpt clinic visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin time partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85730","description":"Thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange drainage catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49423","description":"Exchange drainage catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82143","description":"Amniotic fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308U","description":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK5","description":"HIPPS-5AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2999","description":"Lower extremity orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64859","description":"Nerve surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8013","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8013","description":"HCPCS-C8013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35565","description":"Art byp grft iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41821","description":"Excision of gum flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45160","description":"Excision of rectal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als iv drug therapy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0394","description":"Als iv drug therapy supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7637","description":"Dexamethasone comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11B","description":"HIPPS-LD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor IX_ (antihemophilic factor_ recombinant)_ glycopegylated_ (Rebinyn)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7203","description":"Injection Factor IX_ (antihemophilic factor_ recombinant)_ glycopegylated_ (Rebinyn)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63046","description":"Remove spine lamina 1 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK4","description":"HIPPS-3AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant management for a patient taking warfarin_ must include review and interpretation of a new home_ office_ or lab international normalized ratio (INR) test result_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93793","description":"Anticoagulant management for a patient taking warfarin_ must include review and interpretation of a new home_ office_ or lab international normalized ratio (INR) test result_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB231","description":"HIPPS-PB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elotuzumab_ 1mg (Empliciti)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9477","description":"Injection_ elotuzumab_ 1mg (Empliciti)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14061","description":"Tis trnfr e/n/e/l10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq coronary mech thrombect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92973","description":"Prq coronary mech thrombect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest wall manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94668","description":"Chest wall manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Promazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2950","description":"Promazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong e&m/psyctx serv o/p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99354","description":"Prolong e&m/psyctx serv o/p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant temple bone w/stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69714","description":"Implant temple bone w/stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabiliization_ Per Site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7922","description":"Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabiliization_ Per Site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28210","description":"Repair/graft of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22634","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge noble metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6212","description":"Bridge noble metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1382","description":"HCPCS-M1382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated-aucl_ (Jivi)_ 1U","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7208","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated-aucl_ (Jivi)_ 1U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL11","description":"HIPPS-RVL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of toe joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28054","description":"Biopsy of toe joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hizentra injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1559","description":"Hizentra injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63088","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdom aneurysm endovas rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75953","description":"Abdom aneurysm endovas rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC MTC MRNA XPRSN ALYS 108","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208U","description":"ONC MTC MRNA XPRSN ALYS 108","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone scn b/4 txmnt/aftr dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3269F","description":"Bone scn b/4 txmnt/aftr dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0A","description":"HIPPS-AAA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKX","description":"HIPPS-3AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0678","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0678","description":"HCPCS-G0678","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inirs each vessel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205T","description":"Inirs each vessel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifo 7.25-12/4.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2213","description":"Lens sphcyl bifo 7.25-12/4.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitochondrial Antibody (Eg_ M2)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86381","description":"Mitochondrial Antibody (Eg_ M2)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8E","description":"HIPPS-RHX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD221","description":"HIPPS-PD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27700","description":"Revision of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bed safety enclosure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0316","description":"Bed safety enclosure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add metal substructure to acrylic full denture (per arch)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5876","description":"Add metal substructure to acrylic full denture (per arch)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28160","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurg ablate fa each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19105","description":"Cryosurg ablate fa each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiopurine S-methyltransferase (TPMT)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84433","description":"Thiopurine S-methyltransferase (TPMT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32B","description":"HIPPS-ES32B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36573","description":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331U","description":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB224","description":"HIPPS-HB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN2","description":"HIPPS-1AFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc prosth delayed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33886","description":"Endovasc prosth delayed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pentamidine iseth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0080","description":"Injection_ pentamidine iseth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 2 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9366","description":"Hit tpn 2 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ copanlisib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9057","description":"Injection_ copanlisib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report non routine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551F","description":"Cytopath report non routine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence garment anytype","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4520","description":"Incontinence garment anytype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75801","description":"Lymph vessel x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1168","description":"Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Was Provided Pallative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9993","description":"Patient Was Provided Pallative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9037","description":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD260","description":"HIPPS-LD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00860","description":"CPT-00860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4B","description":"HIPPS-RLB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8662","description":"Fun stat score ls not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24B","description":"HIPPS-PA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of large bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44025","description":"Incision of large bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ intra echocardiography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1759","description":"Cath_ intra echocardiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28G","description":"HIPPS-BA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive jaw surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21045","description":"Extensive jaw surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45500","description":"Repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crisis interven svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2011","description":"Crisis interven svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apomorphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0364","description":"Apomorphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31295","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0425","description":"Inpt/ed teleconsult30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No mrs score in 90d followup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9647","description":"No mrs score in 90d followup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No srch for ct in 12mo norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9342","description":"No srch for ct in 12mo norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow sequential","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7180","description":"Electronic elbow sequential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10A","description":"HIPPS-CE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mult mech switches","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2322","description":"Mult mech switches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pessary rubber_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4561","description":"Pessary rubber_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45520","description":"Treatment of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/vp&up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51729","description":"Cystometrogram w/vp&up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lyse chest fibrin init day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32561","description":"Lyse chest fibrin init day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain w bar & filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4424","description":"Ost pch drain w bar & filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4338","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4338","description":"HCPCS-Q4338","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13C","description":"HIPPS-HB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN3","description":"HIPPS-1CFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture othr specimn aerobic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87070","description":"Culture othr specimn aerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nutritional counseling_ diet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9470","description":"Nutritional counseling_ diet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL41","description":"HIPPS-RUL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; first vein treated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36473","description":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; first vein treated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect diaphragm complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39561","description":"Resect diaphragm complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC150","description":"HIPPS-HC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lower jaw bone graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21215","description":"Lower jaw bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28C","description":"HIPPS-LD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26852","description":"Fusion of knuckle with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"INTRAORIFICE BARRIER","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3911","description":"INTRAORIFICE BARRIER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA17","description":"HIPPS-AAA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC121","description":"HIPPS-CC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pancreas removal/transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48160","description":"Pancreas removal/transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc drug-el cor stent bran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9601","description":"Perc drug-el cor stent bran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97546","description":"Work hardening add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59100","description":"Remove uterus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25D","description":"HIPPS-HD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx semi-rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2114","description":"Afo tib fx semi-rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMX","description":"HIPPS-1AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sperm cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55520","description":"Removal of sperm cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5950","description":"Endo ak ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mesna injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9209","description":"Mesna injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w st wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4392","description":"Urinary pouch w st wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgicord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4218","description":"Surgicord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19082","description":"Bx breast add lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4048F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD255","description":"HIPPS-HD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25909","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23670","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA244","description":"HIPPS-PA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sugars single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84376","description":"Sugars single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image w/drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78708","description":"K flow/funct image w/drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA24","description":"HIPPS-AAA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKU","description":"HIPPS-2BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE204","description":"HIPPS-CE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB32","description":"HIPPS-RLB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy muscle graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15841","description":"Nerve palsy muscle graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 max 100uci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9531","description":"I131 max 100uci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biodfence 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4140","description":"Biodfence 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP1","description":"HIPPS-3CFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23A","description":"HIPPS-PD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-99445","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99445","description":"CPT-99445","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle level i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9013","description":"Esrd demo bundle level i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21A","description":"HIPPS-PD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine culture/colony count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87086","description":"Urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01958","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01958","description":"CPT-01958","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay infectious agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86317","description":"Immunoassay infectious agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nras gene variants exon 2&3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81311","description":"Nras gene variants exon 2&3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX05","description":"HIPPS-RLX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0077","description":"Injection_ clindamycin phosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL6","description":"HIPPS-4AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28D","description":"HIPPS-CE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt unilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200T","description":"Perq sacral augmt unilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0519","description":"Management of new patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no wrong event","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8913","description":"Pt doc no wrong event","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9173","description":"HCPCS-C9173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9903","description":"Patient screened for tobacco use and identified as a tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii (porcine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7191","description":"Factor viii (porcine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX55","description":"HIPPS-RUX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3B","description":"HIPPS-RML3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61680","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA156","description":"HIPPS-CA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35475","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Halo cervical into body jack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0820","description":"Halo cervical into body jack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA17","description":"HIPPS-RUA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Capillary blood draw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36416","description":"Capillary blood draw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24342","description":"Repair of ruptured tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28320","description":"Repair of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0599T","description":"Ncntc r-t fluor wnd img ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung function test (mbc/mvv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94200","description":"Lung function test (mbc/mvv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bowel surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44899","description":"Bowel surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1435","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1435","description":"HCPCS-M1435","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ low-pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4088","description":"Gastro/jejuno tube_ low-pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88309","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/orogastric w/tube plmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43752","description":"Nasal/orogastric w/tube plmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27842","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23B","description":"HIPPS-HC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenobarbital sodium (sezaby)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2561","description":"Injection_ phenobarbital sodium (sezaby)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intent pot remv time placemt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9539","description":"Intent pot remv time placemt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6049","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6049","description":"CDT-D6049","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90955","description":"Esrd srv 2-3 vsts p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28X","description":"HIPPS-HC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Helminth antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86682","description":"Helminth antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein access cutdown < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36420","description":"Vein access cutdown < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision_ unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision_ unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert w/o lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5679","description":"Socket insert w/o lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma 1 donor frz w/in 8 hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9017","description":"Plasma 1 donor frz w/in 8 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42836","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1003T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1003T","description":"CPT-1003T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inf vena cava","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37619","description":"Ligation of inf vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brake for wheeled walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0159","description":"Brake for wheeled walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary/tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58720","description":"Removal of ovary/tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay for phencyclidine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83992","description":"Assay for phencyclidine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1720","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1720","description":"CDT-D1720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of eyelid by suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67875","description":"Closure of eyelid by suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI low field","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8042","description":"MRI low field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe metatarsal bar between","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3410","description":"Shoe metatarsal bar between","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phosphatase forensic exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84061","description":"Phosphatase forensic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coordinating Stroke Care To Promote Prevention And Cultivate Positive Outcomes Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0054","description":"Coordinating Stroke Care To Promote Prevention And Cultivate Positive Outcomes Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC146","description":"HIPPS-LC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0546U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0546U","description":"CPT-0546U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB32","description":"HIPPS-RUB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4420","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4420","description":"HCPCS-Q4420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42971","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen metacarpal/finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26568","description":"Lengthen metacarpal/finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rhophylac injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2791","description":"Rhophylac injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2045","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2045","description":"HCPCS-A2045","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/submuc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45335","description":"Sigmoidoscopy w/submuc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged iv inf_ req pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8957","description":"Prolonged iv inf_ req pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB42","description":"HIPPS-RHB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9329","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9329","description":"HCPCS-J9329","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Activate matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4301","description":"Activate matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has received or is currently receiving palliative or hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1307","description":"Documentation stating the patient has received or is currently receiving palliative or hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMT","description":"HIPPS-4CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC43","description":"HIPPS-RHC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red cell sequestration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78140","description":"Red cell sequestration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21A","description":"HIPPS-PE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN3","description":"HIPPS-1AGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit high risk/escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9381","description":"Hit high risk/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLS","description":"HIPPS-3AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not on a statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9797","description":"Patient is not on a statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1404","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1404","description":"CDT-D1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Position wc cush wdth>=22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2606","description":"Position wc cush wdth>=22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin each add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90472","description":"Immunization admin each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lobar lung transplantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2060","description":"Lobar lung transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19120","description":"Removal of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0201","description":"HCPCS-B0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB255","description":"HIPPS-CB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50040","description":"Drainage of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg) Continuous Recording_ With Video When Performed_ Setup_ Patient Education_ And Takedown When Performed_ Administered In Person By Eeg Technologist_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95700","description":"Electroencephalogram (Eeg) Continuous Recording_ With Video When Performed_ Setup_ Patient Education_ And Takedown When Performed_ Administered In Person By Eeg Technologist_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKX","description":"HIPPS-2AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency anesthesia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99140","description":"Emergency anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0A","description":"HIPPS-RVA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28X","description":"HIPPS-CC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise finger tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26055","description":"Incise finger tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy bra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8000","description":"Mastectomy bra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95723","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35560","description":"Art byp grft aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE135","description":"HIPPS-LE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9977","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ low complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes a brief history including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97165","description":"Occupational therapy evaluation_ low complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes a brief history including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLX","description":"HIPPS-3BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary compliance study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94750","description":"Pulmonary compliance study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pharyngeal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17651","description":"Anesth pharyngeal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair iris & ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66680","description":"Repair iris & ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27767","description":"Cltx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE112","description":"HIPPS-CE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2D","description":"HIPPS-RVB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB52","description":"HIPPS-RUB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11442","description":"Exc face-mm b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87109","description":"Mycoplasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath recording infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94772","description":"Breath recording infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95718","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA06","description":"HIPPS-RHA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease modif pharmacothxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4540F","description":"Disease modif pharmacothxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0852","description":"Pwc gp 3 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porcelin 3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2643","description":"Dental onlay porcelin 3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of chest tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32551","description":"Insertion of chest tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lenacapavir_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1961","description":"Injection_ lenacapavir_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9175","description":"HCPCS-C9175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKS","description":"HIPPS-1CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK6","description":"HIPPS-2AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12B","description":"HIPPS-PC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PEANUT ALLG ASMT EPI CLIN RX","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178U","description":"PEANUT ALLG ASMT EPI CLIN RX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cricotracheal resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31592","description":"Cricotracheal resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31511","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply rem fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20660","description":"Apply rem fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basic life support mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0380","description":"Basic life support mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99202","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Fpd - Porcelain Fused To Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6099","description":"Implant Supported Retainer For Fpd - Porcelain Fused To Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum potassium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84132","description":"Assay of serum potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/revise socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65114","description":"Remove eye/revise socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pyruvate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84210","description":"Assay of pyruvate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device eval in person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93288","description":"Pm device eval in person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-elastic extremity binder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4465","description":"Non-elastic extremity binder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Demo-smoking cessation coun","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9016","description":"Demo-smoking cessation coun","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of lower spine disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72295","description":"X-ray of lower spine disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Audiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0062","description":"Audiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM5","description":"HIPPS-1CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pad band w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6441","description":"Pad band w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP3","description":"HIPPS-1CGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES255","description":"HIPPS-ES255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porcelain/ceramic inlay 2srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6600","description":"Porcelain/ceramic inlay 2srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA22","description":"HIPPS-RUA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m oxidronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9561","description":"Tc99m oxidronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0623U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0623U","description":"CPT-0623U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty control cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6660","description":"Heavy duty control cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96372","description":"Ther/proph/diag inj sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ benralizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9466","description":"Injection_ benralizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Persist asthma medicine ctrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4015F","description":"Persist asthma medicine ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt cerv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219T","description":"Plmt post facet implt cerv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitoxantrone hydrochl / 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9293","description":"Mitoxantrone hydrochl / 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport portable ekg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0076","description":"Transport portable ekg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision subvalvular tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33415","description":"Revision subvalvular tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC250","description":"HIPPS-HC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow socket ins use w/o lck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6695","description":"Elbow socket ins use w/o lck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2D","description":"HIPPS-RHL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18G","description":"HIPPS-LD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4414","description":"HCPCS-Q4414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period; Or H","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2156","description":"Patient Did Not Receive At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period; Or H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9944","description":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ disp_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5262","description":"Hearing aid_ disp_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"YT GNOTYP ACHE EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201U","description":"YT GNOTYP ACHE EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22A","description":"HIPPS-CE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trach-esoph voice pros md in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8509","description":"Trach-esoph voice pros md in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77438","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77438","description":"CPT-77438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43246","description":"Egd place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee joint drop lock ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2405","description":"Knee joint drop lock ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00216","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00216","description":"CPT-00216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cephalin floculation test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2028","description":"Cephalin floculation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2004","description":"HCPCS-B2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lwr ext dynamic prosth pylon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5985","description":"Lwr ext dynamic prosth pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx compl front sinus fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21344","description":"Open tx compl front sinus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59120","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8697","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8697","description":"HCPCS-L8697","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj fe-based mr contrast_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9953","description":"Inj fe-based mr contrast_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMV","description":"HIPPS-2BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla open reduct simple","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7610","description":"Maxilla open reduct simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold outsid lock hinge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6200","description":"Elbow mold outsid lock hinge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27640","description":"Partial removal of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB56","description":"HIPPS-RLB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1803","description":"HCPCS-B1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA26","description":"HIPPS-RHA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26740","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of primidone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80188","description":"Assay of primidone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza Virus Vaccine_ Quadrivalent (Aiiv4)_ Inactivated_ Adjuvanted_ Preservative Free_ 0.5 Ml Dosage_ For Intramuscular Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90694","description":"Influenza Virus Vaccine_ Quadrivalent (Aiiv4)_ Inactivated_ Adjuvanted_ Preservative Free_ 0.5 Ml Dosage_ For Intramuscular Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscopy_ with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39400","description":"Mediastinoscopy_ with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Positional Obstructive Sleep Apnea Treatment_ With Sensor_ Includes All Components And Accessories_ Any Type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1001","description":"Electronic Positional Obstructive Sleep Apnea Treatment_ With Sensor_ Includes All Components And Accessories_ Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin tags add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11201","description":"Remove skin tags add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87627","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87627","description":"CPT-87627","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14B","description":"HIPPS-BA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC213","description":"HIPPS-LC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1803","description":"HCPCS-E1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15C","description":"HIPPS-HB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES117","description":"HIPPS-ES117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Emergency Pack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1762","description":"Home Delivered Meals-Emergency Pack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34520","description":"Cross-over vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87502","description":"Influenza dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMU","description":"HIPPS-2CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0502U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0502U","description":"CPT-0502U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB245","description":"HIPPS-CB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 contents_ gas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0443","description":"Portable 02 contents_ gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef assess planpost dschrge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3019F","description":"Lvef assess planpost dschrge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68400","description":"Incise/drain tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMU","description":"HIPPS-1AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2D","description":"HIPPS-RLA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for brain wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61571","description":"Incise skull for brain wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption study (eg_ Schilling test); without intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78270","description":"Vitamin B-12 absorption study (eg_ Schilling test); without intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onsite nursing facility conference_ that is separate and distinct from an Evaluation and Management visit_ including qualified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9686","description":"Onsite nursing facility conference_ that is separate and distinct from an Evaluation and Management visit_ including qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44960","description":"Appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288U","description":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2100","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post 2 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2392","description":"Post 2 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8A","description":"HIPPS-RUC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL3","description":"HIPPS-4CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB224","description":"HIPPS-LB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33755","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cells unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9021","description":"Red blood cells unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech sound lang comprehen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92523","description":"Speech sound lang comprehen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Brolucizumab-Dbll_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0179","description":"Injection_ Brolucizumab-Dbll_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59852","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC204","description":"HIPPS-CC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC40","description":"HIPPS-RVC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD144","description":"HIPPS-CD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc app","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44979","description":"Laparoscope proc app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt lithium 3.6 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0604","description":"Repl batt lithium 3.6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA235","description":"HIPPS-PA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1080","description":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0604","description":"HCPCS-C0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK6","description":"HIPPS-2AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fo pip dip no jt spr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3927","description":"Fo pip dip no jt spr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0305","description":"HCPCS-C0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMT","description":"HIPPS-3AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal hemoglobin chemical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83030","description":"Fetal hemoglobin chemical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54316","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvas vasc dx study proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93998","description":"Noninvas vasc dx study proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27696","description":"Repair of ankle ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0201","description":"HCPCS-E0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28A","description":"HIPPS-LD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heart pm ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33207","description":"Insert heart pm ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abdl tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22901","description":"Exc abdl tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0842T","description":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81176","description":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLX","description":"HIPPS-1BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parasymp&symp hrt rate test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95943","description":"Parasymp&symp hrt rate test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE136","description":"HIPPS-CE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx l/r atrial fib addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93657","description":"Tx l/r atrial fib addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84119","description":"Test urine for porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1886","description":"Catheter_ ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8A","description":"HIPPS-RUA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-s spine bending","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72114","description":"X-ray exam l-s spine bending","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air ambulan nonemerg rotary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9961","description":"Air ambulan nonemerg rotary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13B","description":"HIPPS-HD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History aids-defining cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3490F","description":"History aids-defining cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPX","description":"HIPPS-3BFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9957","description":"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mw therapy for breast tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301T","description":"Mw therapy for breast tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; hemicortical intercalary_ partial (ie_ hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20933","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; hemicortical intercalary_ partial (ie_ hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76989","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; interpretation and report only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22226","description":"Revise extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL24","description":"HIPPS-RHL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1A","description":"HIPPS-AAA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interstitial radioelement application; simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77776","description":"Interstitial radioelement application; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM3","description":"HIPPS-4AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12A","description":"HIPPS-CE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD111","description":"HIPPS-PD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macul exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2019F","description":"Dilated macul exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23420","description":"Repair of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd w/o bar w filtr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4418","description":"Ost pch clsd w/o bar w filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycopyrrolate comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7643","description":"Glycopyrrolate comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9812","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9812","description":"HCPCS-C9812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gs mg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9235","description":"Gs mg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexible metal hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6610","description":"Flexible metal hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1132","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0520U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0520U","description":"CPT-0520U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io ga n-stim subsq w/reprog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95982","description":"Io ga n-stim subsq w/reprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57700","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of neck of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27161","description":"Incision of neck of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00215","description":"CPT-00215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc fcn/care plan w/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8942","description":"Doc fcn/care plan w/30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis_ copy number variants_ and micros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81463","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis_ copy number variants_ and micros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC126","description":"HIPPS-LC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has been treated with an oral systemic or biologic medication for psoriasis vulgaris","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9764","description":"Patient has been treated with an oral systemic or biologic medication for psoriasis vulgaris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9024","description":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computerized Dynamic Posturography Sensory Organization Test (Cdp-Sot)_ 6 Conditions (Ie_ Eyes Open_ Eyes Closed_ Visual Sway_ Platform Sway_ Eyes Closed Platform Sway_ Platfo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92549","description":"Computerized Dynamic Posturography Sensory Organization Test (Cdp-Sot)_ 6 Conditions (Ie_ Eyes Open_ Eyes Closed_ Visual Sway_ Platform Sway_ Eyes Closed Platform Sway_ Platfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hair analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2031","description":"Hair analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quadrilateral brim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2188","description":"Quadrilateral brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"100 insulin syringes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8490","description":"100 insulin syringes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE146","description":"HIPPS-LE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosaprepitant (focinvez)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1434","description":"Injection_ fosaprepitant (focinvez)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99232","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC130","description":"HIPPS-PC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9880","description":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng provided symp mngmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4350F","description":"Cnslng provided symp mngmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0556","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0556","description":"HCPCS-G0556","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN2","description":"HIPPS-3CGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17108","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95707","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prefab porc/ceram crown pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2929","description":"Prefab porc/ceram crown pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain canal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61050","description":"Remove brain canal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asympt carot/vrtbrbas sten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9005F","description":"Asympt carot/vrtbrbas sten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma hmes filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7504","description":"Tracheostoma hmes filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0647U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0647U","description":"CPT-0647U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ trans atherectomy_ dir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1714","description":"Cath_ trans atherectomy_ dir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programmable infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0783","description":"Programmable infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNS","description":"HIPPS-1BHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parathyroid planar imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78070","description":"Parathyroid planar imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99391","description":"Per pm reeval est pat infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face dermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15789","description":"Chemical peel face dermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM1","description":"HIPPS-4BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18C","description":"HIPPS-PB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove pelvis lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38770","description":"Remove pelvis lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icm device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93290","description":"Icm device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect hand tumor < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26117","description":"Rad resect hand tumor < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL5","description":"HIPPS-2CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr adpt pneum vad_ rep veh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0504","description":"Pwr adpt pneum vad_ rep veh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES236","description":"HIPPS-ES236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradj d-dimer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85380","description":"Fibrin degradj d-dimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty per toot","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4211","description":"Gingivectomy/plasty per toot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9813","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9813","description":"HCPCS-C9813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD112","description":"HIPPS-LD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open drainage liver lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47010","description":"Open drainage liver lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air injection into abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49400","description":"Air injection into abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54420","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures complete maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5110","description":"Dentures complete maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA217","description":"HIPPS-CA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine transthor w/vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62651","description":"Anes spine transthor w/vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex remove fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43215","description":"Esophagoscopy flex remove fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubing used w suction pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7002","description":"Tubing used w suction pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL52","description":"HIPPS-RHL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whole blood for transfusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9010","description":"Whole blood for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arm supp att to wc rancho ty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2627","description":"Arm supp att to wc rancho ty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14C","description":"HIPPS-LD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0897T","description":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10B","description":"HIPPS-PD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no sleep apnea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8840","description":"Doc reas no sleep apnea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cxr doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3006F","description":"Cxr doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPS","description":"HIPPS-3CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung diag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32507","description":"Wedge resect of lung diag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2128","description":"Kafo fem fx cast molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8D","description":"HIPPS-RHB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso r post pnl sj-t9 pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0630","description":"Lso r post pnl sj-t9 pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28F","description":"HIPPS-CB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy (turp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52601","description":"Prostatectomy (turp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLV","description":"HIPPS-2CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92851","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appliance cleaner","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5131","description":"Appliance cleaner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX35","description":"HIPPS-RVX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1019T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1019T","description":"CPT-1019T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16071","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16071","description":"CPT-16071","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0723T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebral augmentations_ first thoracic and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7507","description":"Percutaneous vertebral augmentations_ first thoracic and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17283","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6404","description":"Sterile gauze > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKX","description":"HIPPS-4CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27712","description":"Realignment of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasonic generator w svneb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0574","description":"Ultrasonic generator w svneb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Teniposide_ 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2017","description":"Teniposide_ 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of manganese","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83785","description":"Assay of manganese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl/idrl lsn any lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63290","description":"Bx/exc xdrl/idrl lsn any lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia baby blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49496","description":"Rpr ing hernia baby blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73660","description":"X-ray exam of toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neonate crit care initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99468","description":"Neonate crit care initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0505","description":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20D","description":"HIPPS-HC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m succimer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9551","description":"Tc99m succimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release finger contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26525","description":"Release finger contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair communication device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5336","description":"Repair communication device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52441","description":"Cystourethro w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33845","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0405","description":"HCPCS-C0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47360","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct vagina with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57292","description":"Construct vagina with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumo imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1022F","description":"Pneumo imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0162","description":"Sitz bath chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50390","description":"Drainage of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melanomaajcc stage 0 or ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3322F","description":"Melanomaajcc stage 0 or ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24A","description":"HIPPS-LE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1092T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1092T","description":"CPT-1092T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa complexed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84152","description":"Assay of psa complexed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Daunorubicin citrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9151","description":"Daunorubicin citrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10B","description":"HIPPS-HD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us fine needle bx/aspir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43242","description":"Egd us fine needle bx/aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97158","description":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM2","description":"HIPPS-4BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12A","description":"HIPPS-CC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiograph pelv w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72191","description":"Ct angiograph pelv w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulat leather so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5640","description":"Knee disarticulat leather so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinically node negative (T1N0N0 or T2N0N0) invasive breast cancer before or after neoadjuvant systemic therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9911","description":"Clinically node negative (T1N0N0 or T2N0N0) invasive breast cancer before or after neoadjuvant systemic therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8664","description":"Fun stat score shdl < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0D","description":"HIPPS-RVL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4029","description":"Preventive Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19000","description":"Drainage of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast thermoplas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2126","description":"Kafo fem fx cast thermoplas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB10","description":"HIPPS-RHB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor X_ (human)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7175","description":"Injection_ Factor X_ (human)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hcg free betachain test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84704","description":"Hcg free betachain test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12D","description":"HIPPS-CB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0563U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0563U","description":"CPT-0563U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10004","description":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26770","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0150","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0150","description":"HCPCS-E0150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24D","description":"HIPPS-PA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove esophagus obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74235","description":"Remove esophagus obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 3 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64495","description":"Inj paravert f jnt l/s 3 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary hvy plstc pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4382","description":"Urinary hvy plstc pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal shoe space maintainer - fixed - unilateral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1575","description":"Distal shoe space maintainer - fixed - unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC126","description":"HIPPS-PC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66852","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc lis nurse train ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0164","description":"Hhc lis nurse train ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0504","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0504","description":"CDT-D0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for maintenance of insulin infusion catheter_ per week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter_ per week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of arm & girdle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23900","description":"Amputation of arm & girdle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21C","description":"HIPPS-PE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-75577","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75577","description":"CPT-75577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clean rem part denture max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9934","description":"Clean rem part denture max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual fully reclining back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1226","description":"Manual fully reclining back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML45","description":"HIPPS-RML45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54435","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk20.1-30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12006","description":"Rpr s/n/a/gen/trk20.1-30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst bse mtl inlay >= 3 surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6605","description":"Cst bse mtl inlay >= 3 surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 probe&revrse trnscripj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87538","description":"Hiv-2 probe&revrse trnscripj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20C","description":"HIPPS-PD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25565","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscpy w/medstnl bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39401","description":"Mediastinoscpy w/medstnl bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE245","description":"HIPPS-LE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/repl vagus n eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64569","description":"Revise/repl vagus n eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69550","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea 1 ses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435T","description":"Prgrmg eval npgs apnea 1 ses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power module combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0479","description":"Power module combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test indirect qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86885","description":"Coombs test indirect qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspiration orbital contents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67415","description":"Aspiration orbital contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13B","description":"HIPPS-LB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxy suppl heater for nebuliz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1372","description":"Oxy suppl heater for nebuliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0640T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay myeloperoxidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83876","description":"Assay myeloperoxidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22C","description":"HIPPS-CE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9878","description":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99156","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0675","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0675","description":"HCPCS-G0675","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behav hlth day treat_ per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2012","description":"Behav hlth day treat_ per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0903","description":"HCPCS-B0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0690U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0690U","description":"CPT-0690U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE211","description":"HIPPS-CE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM6","description":"HIPPS-3CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15922","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim gcsf biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5101","description":"Inj filgrastim gcsf biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tonsils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42826","description":"Removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Balloon dilate urtrl strix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50706","description":"Balloon dilate urtrl strix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS CODE","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAA0","description":"SNF PDPM HIPPS CODE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cvd risk assessment not performed or incomplete (e.g._ cvd risk assessment was not documented)_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1257","description":"Cvd risk assessment not performed or incomplete (e.g._ cvd risk assessment was not documented)_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC236","description":"HIPPS-HC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL2","description":"HIPPS-2CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22C","description":"HIPPS-CA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian recurrence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9116","description":"Onc dx ovarian recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent tobacco status is not tobacco free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9792","description":"Most recent tobacco status is not tobacco free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67840","description":"Remove eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special radiation dosimetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77331","description":"Special radiation dosimetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98007","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98007","description":"CPT-98007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-tnf per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9359","description":"Hit anti-tnf per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361U","description":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Day habil waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2020","description":"Day habil waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA151","description":"HIPPS-BA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sio panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0624","description":"Sio panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7518","description":"Mycophenolic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92230","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26480","description":"Transplant hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tmj condyle","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7840","description":"Removal of tmj condyle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC17","description":"HIPPS-RUC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87480","description":"Candida dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11107","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpnt stay radiolabeled item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9898","description":"Inpnt stay radiolabeled item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4170","description":"Cygnus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9752","description":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1397","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1397","description":"HCPCS-M1397","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1602","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1602","description":"CDT-D1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE106","description":"HIPPS-CE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392U","description":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc t-pa admin considered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4077F","description":"Doc t-pa admin considered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLS","description":"HIPPS-2AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33288","description":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minocycline hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2265","description":"Minocycline hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27511","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC113","description":"HIPPS-LC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of torus palatinus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7472","description":"Removal of torus palatinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban_ 1 mg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0884","description":"Injection_ argatroban_ 1 mg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Htlv-i antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86687","description":"Htlv-i antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6794","description":"Crown titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound cleanser any type/size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6260","description":"Wound cleanser any type/size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28I","description":"HIPPS-ES28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPX","description":"HIPPS-1CGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (lyumjev) for administration through dme (i.e._ insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1813","description":"Insulin (lyumjev) for administration through dme (i.e._ insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1198","description":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA07","description":"HIPPS-RHA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj fem cont inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64448","description":"N block inj fem cont inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11B","description":"HIPPS-HE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone pellet 75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0189","description":"Testosterone pellet 75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan caremng angnl symptdocd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557F","description":"Plan caremng angnl symptdocd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44605","description":"Repair of bowel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21C","description":"HIPPS-HB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB251","description":"HIPPS-BB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Prostate)_ Mrna_ Microarray Gene Expression Profiling Of 22 Content Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported As Metastasis Risk S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81542","description":"Oncology (Prostate)_ Mrna_ Microarray Gene Expression Profiling Of 22 Content Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported As Metastasis Risk S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC216","description":"HIPPS-PC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4570","description":"Splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl bleaching per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9973","description":"Extrnl bleaching per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB120","description":"HIPPS-PB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML34","description":"HIPPS-RML34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28H","description":"HIPPS-HC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB114","description":"HIPPS-BB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla x-match noncytotoxc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86826","description":"Hla x-match noncytotoxc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28A","description":"HIPPS-LC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9025","description":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33820","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24D","description":"HIPPS-CB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intake Activities_ Including Initial Medical Examination That Is A Complete_ Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2076","description":"Intake Activities_ Including Initial Medical Examination That Is A Complete_ Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q4h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9504","description":"Hit antibiotic q4h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Community/work reintegration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97537","description":"Community/work reintegration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67911","description":"Revise eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1A","description":"HIPPS-RLB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; quantitative or semiquantitative_ crude allergen extract_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86003","description":"Allergen specific IgE; quantitative or semiquantitative_ crude allergen extract_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB51","description":"HIPPS-RUB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate pt use of inhaler","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94664","description":"Evaluate pt use of inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15C","description":"HIPPS-LB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx >50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97606","description":"Neg press wound tx >50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36245","description":"Ins cath abd/l-ext art 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95977","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefotetan disodiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0074","description":"Injection_ cefotetan disodiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84703","description":"Chorionic gonadotropin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10B","description":"HIPPS-CE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15012","description":"CPT-15012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/12-2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2107","description":"Spherocylinder 4.25d/12-2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay resin 3/mre sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2652","description":"Dental inlay resin 3/mre sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53865","description":"CPT-53865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27513","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral solution hepatic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5100","description":"Parenteral solution hepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1065","description":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr34 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2359","description":"Gr34 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8H","description":"HIPPS-RVC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cortisol free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82530","description":"Cortisol free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Particle agglut antbdy scrn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86403","description":"Particle agglut antbdy scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25A","description":"HIPPS-PB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metal frame recipro hip & ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2628","description":"Metal frame recipro hip & ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13D","description":"HIPPS-PE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt intermediate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77523","description":"Proton trmt intermediate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2159","description":"Patient Did Not Receive Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4047","description":"Cast sup sht leg splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy dilate/fx repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31630","description":"Bronchoscopy dilate/fx repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25695","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26489","description":"Transplant/graft palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral first film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0250","description":"Extraoral first film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PreTRMĀ®_ Sera Prognostics_ Sera Prognostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0247U","description":"PreTRMĀ®_ Sera Prognostics_ Sera Prognostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093U","description":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine & skull spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22590","description":"Spine & skull spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33949","description":"Ecmo/ecls daily mgmt artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK4","description":"HIPPS-3BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKU","description":"HIPPS-5CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0624U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0624U","description":"CPT-0624U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35121","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of neck vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22110","description":"Remove part of neck vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo rig ant tib prefab tcf/=","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1932","description":"Afo rig ant tib prefab tcf/=","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18B","description":"HIPPS-LC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59425","description":"Antepartum care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Range of motion measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95852","description":"Range of motion measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ganciclovir sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1570","description":"Ganciclovir sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18F","description":"HIPPS-LC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8H","description":"HIPPS-RHC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute pvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1337","description":"Acute pvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miniature knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5826","description":"Miniature knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309U","description":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90381","description":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13A","description":"HIPPS-HB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove&replace pm gen singl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33227","description":"Remove&replace pm gen singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0334U","description":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ 10 mcg (Sinuva)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9122","description":"Mometasone furoate sinus implant_ 10 mcg (Sinuva)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB225","description":"HIPPS-LB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC117","description":"HIPPS-HC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone oral 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0109","description":"Methadone oral 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN6","description":"HIPPS-1CGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKT","description":"HIPPS-3CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise foot tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28086","description":"Excise foot tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15A","description":"HIPPS-PD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Staph a dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87640","description":"Staph a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psa/t/glsc docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3268F","description":"Psa/t/glsc docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9937","description":"Diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system >=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4305","description":"Drug delivery system >=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP2","description":"HIPPS-1AHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3A","description":"HIPPS-RUB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNU","description":"HIPPS-1CGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2101","description":"CDT-D2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay prostate phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84066","description":"Assay prostate phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61020","description":"Remove brain cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87799","description":"Detect agent nos dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37290","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37290","description":"CPT-37290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28306","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome study additional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88289","description":"Chromosome study additional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sedation (non-iv)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9248","description":"Sedation (non-iv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore orbit/remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61333","description":"Explore orbit/remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/replace knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27486","description":"Revise/replace knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory test limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92587","description":"Evoked auditory test limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLW","description":"HIPPS-3CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement_ bone including epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed_ first 20 sq cm or less with manual preparation and insertion of deep (e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7500","description":"Debridement_ bone including epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed_ first 20 sq cm or less with manual preparation and insertion of deep (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplt allo lymphocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38242","description":"Transplt allo lymphocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKT","description":"HIPPS-1AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24A","description":"HIPPS-PC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28E","description":"HIPPS-CD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0765T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of hip joint/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27036","description":"Excision of hip joint/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vte prophylaxis rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4069F","description":"Vte prophylaxis rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64834","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB210","description":"HIPPS-HB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brachy linear_ non-str_p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2636","description":"Brachy linear_ non-str_p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 locus lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81376","description":"Hla ii typing 1 locus lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine&cord 2 trx crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63196","description":"Incise spine&cord 2 trx crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deli/install chrg hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1600","description":"Deli/install chrg hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24320","description":"Repair of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47361","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97162","description":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis delta agent antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86692","description":"Hepatitis delta agent antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy submucous njx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45381","description":"Colonoscopy submucous njx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62322","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us obstetric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76817","description":"Transvaginal us obstetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lead pace-defib dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33220","description":"Repair lead pace-defib dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise & treat bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51030","description":"Incise & treat bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryptococcus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86641","description":"Cryptococcus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for transfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76941","description":"Echo guide for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0553U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0553U","description":"CPT-0553U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontoplasty 1-2 teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9971","description":"Odontoplasty 1-2 teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj naloxone hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2310","description":"Inj naloxone hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL4","description":"HIPPS-3AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta cord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4214","description":"Cellesta cord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20910","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topical prep rx aoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4130F","description":"Topical prep rx aoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabric wrapping of aneurysm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0301","description":"Fabric wrapping of aneurysm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2396","description":"Caster fork","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6590","description":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nitroblue tetrazolium dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86384","description":"Nitroblue tetrazolium dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular inj of (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074A","description":"Imm admin by intramuscular inj of (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Air elevator for heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0370","description":"Air elevator for heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36010","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0830T","description":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28B","description":"HIPPS-PE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC26","description":"HIPPS-RVC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9159","description":"Lang comp current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable pull-on any size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4536","description":"Reusable pull-on any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9632","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3930","description":"Hfo nontorsion jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc no reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8698","description":"Antithromb no presc no reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55708","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55708","description":"CPT-55708","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment gastric band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2083","description":"Adjustment gastric band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib not presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9440","description":"P2y inhib not presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quan lamotrigine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80175","description":"Drug screen quan lamotrigine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & duct catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52010","description":"Cystoscopy & duct catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul perm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283T","description":"Periph field stimul perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep part denture cast frame","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5620","description":"Rep part denture cast frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14C","description":"HIPPS-BA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (pemfexy)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9304","description":"Injection_ pemetrexed (pemfexy)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim excl biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1442","description":"Inj filgrastim excl biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post chmbr intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2632","description":"Post chmbr intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2151","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2151","description":"HCPCS-J2151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML03","description":"HIPPS-RML03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE211","description":"HIPPS-PE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7571","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7571","description":"HCPCS-C7571","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of aide_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0156","description":"Hhcp-svs of aide_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9975","description":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0536T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ipilimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9228","description":"Ipilimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transverse Aortic Arch Graft_ With Cardiopulmonary Bypass_ With Profound Hypothermia_ Total Circulatory Arrest And Isolated Cerebral Perfusion With Reimplantation Of Arch Vess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33871","description":"Transverse Aortic Arch Graft_ With Cardiopulmonary Bypass_ With Profound Hypothermia_ Total Circulatory Arrest And Isolated Cerebral Perfusion With Reimplantation Of Arch Vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11311","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for heart biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76932","description":"Echo guide for heart biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA54","description":"HIPPS-RLA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP2","description":"HIPPS-1CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous ppi or h2ra rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4185F","description":"Continuous ppi or h2ra rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv hanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0105","description":"Iv hanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE134","description":"HIPPS-HE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC SLD TUM ALYS BRCA1 BRCA2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172U","description":"ONC SLD TUM ALYS BRCA1 BRCA2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androsterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82160","description":"Assay of androsterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd low limb pros vacuum pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5782","description":"Hd low limb pros vacuum pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8B","description":"HIPPS-RVB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin or another antiplatelet therapy not used_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1057","description":"Aspirin or another antiplatelet therapy not used_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication & fitting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2628","description":"Fabrication & fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30450","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eltrd/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33243","description":"Remove eltrd/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9131","description":"Onc dx brst unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX12","description":"HIPPS-RUX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB156","description":"HIPPS-LB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46705","description":"Repair of anal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42210","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99493","description":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24575","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240U","description":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Detach non-adjus hght armrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0015","description":"Detach non-adjus hght armrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i&ii antibody qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86828","description":"Hla class i&ii antibody qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23480","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft kneecap tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27381","description":"Repair/graft kneecap tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1330","description":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69705","description":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buccal/labial frenectomy (frenulectomy)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7961","description":"Buccal/labial frenectomy (frenulectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Throat surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42999","description":"Throat surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77772","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise two eye muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67316","description":"Revise two eye muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00846","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00846","description":"CPT-00846","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2033","description":"HCPCS-A2033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB136","description":"HIPPS-CB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27330","description":"Biopsy knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ non-prog_temp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2626","description":"Infusion pump_ non-prog_temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy addl cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63043","description":"Laminotomy addl cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB251","description":"HIPPS-HB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5810","description":"Denture interm cmplt maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1A","description":"HIPPS-RHA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biphos thxpy vein ord/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4100F","description":"Biphos thxpy vein ord/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55709","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55709","description":"CPT-55709","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0805","description":"HCPCS-C0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 15-21 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0482","description":"Drug test def 15-21 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2001","description":"HCPCS-B2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed var ht w/o rail w/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0292","description":"Hosp bed var ht w/o rail w/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic venous therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37212","description":"Thrombolytic venous therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4C","description":"HIPPS-RHX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2C","description":"HIPPS-RLB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54430","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot drop splint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4398","description":"Foot drop splint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1324","description":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraabdominal pressure test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51797","description":"Intraabdominal pressure test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17274","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL33","description":"HIPPS-RVL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient_s current functional status when there is a documented change;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97172","description":"Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient_s current functional status when there is a documented change;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dose optimization auc - 5fu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3722","description":"Dose optimization auc - 5fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL3","description":"HIPPS-1AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8I","description":"HIPPS-RHB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros info op rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9304","description":"Pros info op rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath occlusion non-cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61626","description":"Transcath occlusion non-cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18D","description":"HIPPS-PD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15730","description":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathologist(s)/dermatopathologist(s) is the same clinician who performed the biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9939","description":"Pathologist(s)/dermatopathologist(s) is the same clinician who performed the biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28B","description":"HIPPS-LE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe solid stirrup exi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3620","description":"Trans shoe solid stirrup exi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5A","description":"HIPPS-RMC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdomen vessel surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88051","description":"Anesth abdomen vessel surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5A","description":"HIPPS-RLB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2620","description":"Wc planar back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder prosthesis removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23335","description":"Shoulder prosthesis removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59350","description":"Repair of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61530","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service for ages under 21 Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0312","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service for ages under 21 Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2201","description":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen pap by tech w md supv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P3000","description":"Screen pap by tech w md supv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket hip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5702","description":"Replace socket hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE213","description":"HIPPS-CE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6020","description":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1174","description":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hygienic item or device_ disposable or non-disposable_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9286","description":"Hygienic item or device_ disposable or non-disposable_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86701","description":"Hiv-1antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7401","description":"Mometasone furoate sinus implant_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18A","description":"HIPPS-HE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLU","description":"HIPPS-3BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ GELSYN-3_ for intra-articular injection_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7328","description":"Hyaluronan or derivative_ GELSYN-3_ for intra-articular injection_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluid pressure muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20950","description":"Fluid pressure muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L colectomy/coloproctostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44207","description":"L colectomy/coloproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78191","description":"Platelet survival","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bls-emergency","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0429","description":"Bls-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15121","description":"Skn splt a-grft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia push tecnique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96420","description":"Chemo ia push tecnique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered pressure reducing underlay/pad_ alternating_ with pump_ inc heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0183","description":"Powered pressure reducing underlay/pad_ alternating_ with pump_ inc heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNW","description":"HIPPS-1AHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0570T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPW","description":"HIPPS-1BFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification assessment_ administered by a physician or other qualified health care professional_ each 15 minutes of the physician_s or other qualified health care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97151","description":"Behavior identification assessment_ administered by a physician or other qualified health care professional_ each 15 minutes of the physician_s or other qualified health care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37140","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC214","description":"HIPPS-HC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abdom w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74175","description":"Ct angio abdom w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantable pump replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0786","description":"Implantable pump replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (b braun) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0136","description":"Injection_ acetaminophen (b braun) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61460","description":"Incise skull for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90584","description":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1099T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1099T","description":"CPT-1099T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00756","description":"CPT-00756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54100","description":"Biopsy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMS","description":"HIPPS-1CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Com wrap-around sv_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2021","description":"Com wrap-around sv_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53251","description":"Anesth vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bitewings - three films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0273","description":"Bitewings - three films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fndngs mammo 2pt w/in 3 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5060F","description":"Fndngs mammo 2pt w/in 3 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27882","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM6","description":"HIPPS-4BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43754","description":"Dx gastr intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP19","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP19","description":"HIPPS-ATP19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventilating tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69424","description":"Remove ventilating tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12A","description":"HIPPS-PE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test cran nerve bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95868","description":"Muscle test cran nerve bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2102","description":"HCPCS-A2102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor rental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1031","description":"Gluc monitor rental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25290","description":"Incise wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7554","description":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8C","description":"HIPPS-RUC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18H","description":"HIPPS-PE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73085","description":"Contrast x-ray of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42500","description":"Repair salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"repair resin partial denture base_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5611","description":"repair resin partial denture base_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F5 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81241","description":"F5 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50200","description":"Renal biopsy perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC02","description":"HIPPS-RUC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0605","description":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13A","description":"HIPPS-CC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3351","description":"Apexification/recalc initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9161","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"HCPCS-J9161","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24A","description":"HIPPS-BB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No record of HBV results documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9915","description":"No record of HBV results documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brst cncr stage > t1n0m0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8881","description":"Brst cncr stage > t1n0m0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig rna no antvir tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8460","description":"Pt inelig rna no antvir tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE160","description":"HIPPS-CE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23545","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285U","description":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPS","description":"HIPPS-1CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no ann srn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9384","description":"Doc med reas no ann srn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL3","description":"HIPPS-3AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKS","description":"HIPPS-5CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases any combination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82803","description":"Blood gases any combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtemporal decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61340","description":"Subtemporal decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9803","description":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLS","description":"HIPPS-4BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK3","description":"HIPPS-4BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8919","description":"Mra w/o cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2779","description":"Injection_ ranibizumab_ via intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile duct endoscopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47550","description":"Bile duct endoscopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27698","description":"Repair of ankle ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16073","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16073","description":"CPT-16073","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0019","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of diaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39545","description":"Revision of diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0561U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0561U","description":"CPT-0561U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Devise bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44316","description":"Devise bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Porc/ceram inlay >= 3 surfac","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6601","description":"Porc/ceram inlay >= 3 surfac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8F","description":"HIPPS-RMA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE120","description":"HIPPS-PE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose and 0.45% saline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5010","description":"5% dextrose and 0.45% saline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio hrt w/3d image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75574","description":"Ct angio hrt w/3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Cranberry Peak_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1008","description":"Clinical Decision Support Mechanism Cranberry Peak_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of surface (transcutaneous) neurostimulator (eg_ TENS unit)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64550","description":"Application of surface (transcutaneous) neurostimulator (eg_ TENS unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; paper_ 2-dimensional_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82488","description":"Chromatography_ qualitative; paper_ 2-dimensional_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29305","description":"Application of hip cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho flex pavlik harns pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1620","description":"Ho flex pavlik harns pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Serv asmnt/care plan waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2024","description":"Serv asmnt/care plan waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93314","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker_ battery powered_ wheeled_ folding_ adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0152","description":"Walker_ battery powered_ wheeled_ folding_ adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB12","description":"HIPPS-RLB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay 17- ketosteroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83586","description":"Assay 17- ketosteroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx cast plaster mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2106","description":"Afo tib fx cast plaster mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6060","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mattress innerspring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0271","description":"Mattress innerspring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobin quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83010","description":"Assay of haptoglobin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk joint covers pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5678","description":"Bk joint covers pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65270","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii semiquant panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86835","description":"Hla class ii semiquant panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD160","description":"HIPPS-LD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99403","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4031","description":"Cast sup lng leg ped plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release inner ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69960","description":"Release inner ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1034","description":"Art pancreas system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4383","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4383","description":"HCPCS-Q4383","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42405","description":"Biopsy of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia (antihemophilic factor_ recombinant)-jncw (sevenfact)_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7212","description":"Factor viia (antihemophilic factor_ recombinant)-jncw (sevenfact)_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36200","description":"Place catheter in aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175T","description":"Cad cxr remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ granisetron extended release_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9486","description":"Injection_ granisetron extended release_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22222","description":"Incis w/discectomy thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporary tear duct plug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4262","description":"Temporary tear duct plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50546","description":"Laparoscopic nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5924","description":"Cranial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coronary art/grft angio s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93455","description":"Coronary art/grft angio s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fusion/forearm vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36820","description":"Av fusion/forearm vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKV","description":"HIPPS-4BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8X","description":"HIPPS-RUL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28545","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 2 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95131","description":"Immntx 2 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1443","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1443","description":"HCPCS-M1443","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA20","description":"HIPPS-RHA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo_ rigid w/o joints","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3808","description":"Whfo_ rigid w/o joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tear film img uni/bi w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330T","description":"Tear film img uni/bi w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penile contracture device_ manual_ greater than 3 lbs traction force","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4988","description":"Penile contracture device_ manual_ greater than 3 lbs traction force","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefoperazone sod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0021","description":"Injection_ cefoperazone sod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osa mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8759","description":"Osa mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6554","description":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0967T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0967T","description":"CPT-0967T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6541","description":"Gc stocking waistlngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61546","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20900","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire any size ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2219","description":"Foam caster tire any size ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1480","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1480","description":"HCPCS-M1480","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo pos solid ank plastic mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1960","description":"Afo pos solid ank plastic mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL3","description":"HIPPS-1BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0689T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47125","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311T","description":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM5","description":"HIPPS-3AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg rev/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93228","description":"Remote 30 day ecg rev/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral reflux study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78740","description":"Ureteral reflux study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft sclp/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15220","description":"Skin full graft sclp/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0401","description":"HCPCS-C0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX32","description":"HIPPS-RVX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construct bowel bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50825","description":"Construct bowel bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00702","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00702","description":"CPT-00702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23A","description":"HIPPS-LE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96935","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo urethral suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51990","description":"Laparo urethral suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP3","description":"HIPPS-1BFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays transcath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75894","description":"X-rays transcath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36014","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ configuration of wave form_ battery status_ elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95973","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ configuration of wave form_ battery status_ elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Via matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4309","description":"Via matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi delay w/o kub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74240","description":"X-ray upper gi delay w/o kub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0119","description":"Ondansetron 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML54","description":"HIPPS-RML54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0590U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0590U","description":"CPT-0590U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37276","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37276","description":"CPT-37276","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK1","description":"HIPPS-5AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9160","description":"Lang comp goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd us exam duodenum/jejunum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43259","description":"Egd us exam duodenum/jejunum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50553","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES115","description":"HIPPS-ES115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35201","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD106","description":"HIPPS-CD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant_ oral_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8670","description":"Rolapitant_ oral_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27606","description":"Incision of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27665","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calaspargase pegol-mknl_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9118","description":"Injection_ calaspargase pegol-mknl_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0652T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99343","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0247","description":"Trans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg_ expanded size and methylation status)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81172","description":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg_ expanded size and methylation status)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic treatment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8690","description":"Orthodontic treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment jacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6509","description":"Compres burn garment jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rb82 rubidium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9555","description":"Rb82 rubidium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64408","description":"N block inj vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24310","description":"Revision of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit routine device maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5035","description":"Hit routine device maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autogenous Av Fistula Received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8530","description":"Autogenous Av Fistula Received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect vag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57285","description":"Repair paravag defect vag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with destruction by radiofrequency ablation_ posterior nasal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31242","description":"Nasal/sinus endoscopy_ surgical; with destruction by radiofrequency ablation_ posterior nasal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25628","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B screening in non-pregnant_ high risk individual includes hepatitis B surface antigen (HBSAG) followed by a neutralizing confirmatory test for initially reactive re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0499","description":"Hepatitis B screening in non-pregnant_ high risk individual includes hepatitis B surface antigen (HBSAG) followed by a neutralizing confirmatory test for initially reactive re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic defect closure within the entire gastrointestinal tract_ including upper endoscopy (including diagnostic_ if performed) or colonoscopy (including diagnostic_ if per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9901","description":"Endoscopic defect closure within the entire gastrointestinal tract_ including upper endoscopy (including diagnostic_ if performed) or colonoscopy (including diagnostic_ if per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped gastro ed given caregvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4058F","description":"Ped gastro ed given caregvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28I","description":"HIPPS-PD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anidulafungin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0348","description":"Anidulafungin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA14","description":"HIPPS-RMA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad dos limts b/4 3d rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520F","description":"Rad dos limts b/4 3d rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52283","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conversion ext bil drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47535","description":"Conversion ext bil drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI ct scan ord rvwd rqstd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3324F","description":"MRI ct scan ord rvwd rqstd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK6","description":"HIPPS-3BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42104","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 1 genotyping (HPA-1)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81105","description":"Human Platelet Antigen 1 genotyping (HPA-1)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/endoscope us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45391","description":"Colonoscopy w/endoscope us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKT","description":"HIPPS-5BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33267","description":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC44","description":"HIPPS-RVC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20600","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combination sit to stand sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0637","description":"Combination sit to stand sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epifix_ inj_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4145","description":"Epifix_ inj_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32A","description":"HIPPS-ES32A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9912","description":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0201","description":"HCPCS-C0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peri-px device eval & prgr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93287","description":"Peri-px device eval & prgr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLW","description":"HIPPS-1BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77261","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tendon shortening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26477","description":"Tendon shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init ak ischal plstr direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5505","description":"Init ak ischal plstr direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0772T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/attach implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65105","description":"Remove eye/attach implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18A","description":"HIPPS-PA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc stage docd b/4 thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3300F","description":"Ajcc stage docd b/4 thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray stress view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77071","description":"X-ray stress view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD105","description":"HIPPS-PD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop app non-wgt bear dsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5460","description":"Postop app non-wgt bear dsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0997T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0997T","description":"CPT-0997T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0B","description":"HIPPS-RUB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2002","description":"N-et; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML15","description":"HIPPS-RML15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocrine nuclear procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78099","description":"Endocrine nuclear procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g._ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9776","description":"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g._ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay lipoprotein pla2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83698","description":"Assay lipoprotein pla2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0980T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0980T","description":"CPT-0980T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ perc lumb disc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2614","description":"Probe_ perc lumb disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK6","description":"HIPPS-4BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8C","description":"HIPPS-RHX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76376","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aldosterone suppression eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80408","description":"Aldosterone suppression eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13D","description":"HIPPS-HD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10A","description":"HIPPS-HD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risankizumab-rzaa_ intravenous_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2327","description":"Injection_ risankizumab-rzaa_ intravenous_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare heart-aorta conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33404","description":"Prepare heart-aorta conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28F","description":"HIPPS-PB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215U","description":"RARE DS XOM DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Multiple Trajectories For","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61737","description":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Multiple Trajectories For","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81325","description":"Pmp22 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90616","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90616","description":"CPT-90616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20702","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391U","description":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ dual chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1721","description":"Aicd_ dual chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Single Trajectory For 1 Si","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61736","description":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Single Trajectory For 1 Si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27860","description":"Fixation of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77407","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 10 gm lipids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4185","description":"Parenteral sol 10 gm lipids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing_ Including Repacking_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49014","description":"Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing_ Including Repacking_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Retinal prosth int/ext comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1841","description":"Retinal prosth int/ext comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney & ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50234","description":"Removal of kidney & ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech threshold audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92555","description":"Speech threshold audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMS","description":"HIPPS-1BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special anesthesia service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99100","description":"Special anesthesia service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64466","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64466","description":"CPT-64466","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB206","description":"HIPPS-LB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKW","description":"HIPPS-5CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:2 to 1:3)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1729","description":"Employment - Employment Skills Development (1:2 to 1:3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj nalbuphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2300","description":"Inj nalbuphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55559","description":"Laparo proc spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0853","description":"Pwc gp 3 vhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4351","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4351","description":"HCPCS-Q4351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"H2o stat docd dehydrated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2031F","description":"H2o stat docd dehydrated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3241","description":"Injection_ teprotumumab-trbw_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect apical lung tum/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32504","description":"Resect apical lung tum/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; HIV-1 antigen(s)_ with HIV-1 and HIV-2 antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87806","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; HIV-1 antigen(s)_ with HIV-1 and HIV-2 antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pertuzumab_ trastuzumab_ and hyaluronidase-zzxf_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9316","description":"Injection_ pertuzumab_ trastuzumab_ and hyaluronidase-zzxf_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng epo thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4095F","description":"Pt not rcvng epo thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0557U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0557U","description":"CPT-0557U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3011F","description":"Lipid panel doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0870","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0870","description":"HCPCS-J0870","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64788","description":"Remove skin nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy with uv-b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96910","description":"Photochemotherapy with uv-b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cover eye w/membrane","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65778","description":"Cover eye w/membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endometr ablate thermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58353","description":"Endometr ablate thermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0504","description":"HCPCS-B0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77058","description":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin copper sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83026","description":"Hemoglobin copper sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins tun ip cath for dial opn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49421","description":"Ins tun ip cath for dial opn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064U","description":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4D","description":"HIPPS-RUC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26474","description":"Fusion of finger tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rear whl compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0070","description":"Rear whl compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9678","description":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3A","description":"HIPPS-RLX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3271F","description":"Low risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88016","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00176","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00176","description":"CPT-00176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 3.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4168","description":"Parenteral sol amino acid 3.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91304","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rho(d) immune globulin h_ sd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2792","description":"Rho(d) immune globulin h_ sd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69320","description":"Rebuild outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN1","description":"HIPPS-3BHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0127U","description":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aphakia prosth service temp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92358","description":"Aphakia prosth service temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ brexanolone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1632","description":"Injection_ brexanolone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK1","description":"HIPPS-1CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27347","description":"Remove knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63286","description":"Bx/exc idrl imed lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis o2/co2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94681","description":"Exhaled air analysis o2/co2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of scleral staphyloma; without graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66220","description":"Repair of scleral staphyloma; without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6028","description":"HCPCS-L6028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265U","description":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No card tamp e/in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9409","description":"No card tamp e/in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97002","description":"Pt re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73610","description":"X-ray exam of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD151","description":"HIPPS-LD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6561","description":"Gradient compression stocking_ full length/chap style_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9734","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25A","description":"HIPPS-CA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1016","description":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0851","description":"Pwc gp 3 hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Used By Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9992","description":"Palliative Care Services Used By Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tacrolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80197","description":"Assay of tacrolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236U","description":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disease activity not assessed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1006","description":"Disease activity not assessed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35102","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99345","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26140","description":"Revise finger joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25C","description":"HIPPS-LC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for prescribing systemic antimicrobials","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9960","description":"Documentation of medical reason(s) for prescribing systemic antimicrobials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC10","description":"HIPPS-RVC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace lithium battery 1.5v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4602","description":"Replace lithium battery 1.5v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ic inf pbw 2501-5000 g subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99480","description":"Ic inf pbw 2501-5000 g subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD244","description":"HIPPS-LD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Agglutinins febrile antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86000","description":"Agglutinins febrile antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37283","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37283","description":"CPT-37283","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNT","description":"HIPPS-3BHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK6","description":"HIPPS-2AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5B","description":"HIPPS-RUX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC135","description":"HIPPS-HC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0502","description":"HCPCS-C0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive continuous glucose monitor or receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2102","description":"Adjunctive continuous glucose monitor or receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss add imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10036","description":"Perq dev soft tiss add imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM6","description":"HIPPS-4AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24076","description":"Ex arm/elbow tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca1 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81215","description":"Brca1 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4306","description":"American amnion ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLU","description":"HIPPS-2AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2290","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2290","description":"HCPCS-J2290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anl sp inf pmp w/mdreprg&fil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62370","description":"Anl sp inf pmp w/mdreprg&fil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA246","description":"HIPPS-BA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95927","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9028","description":"HCPCS-J9028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0603","description":"HCPCS-C0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020M","description":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Degarelix injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9155","description":"Degarelix injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27147","description":"Revision of hip bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69200","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87182","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87182","description":"CPT-87182","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87636","description":"IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6548","description":"HCPCS-A6548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd balloon dil esoph30 mm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43233","description":"Egd balloon dil esoph30 mm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC131","description":"HIPPS-PC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Theraskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4121","description":"Theraskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt trnsfrd from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581F","description":"Pt trnsfrd from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA16","description":"HIPPS-RLA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLT","description":"HIPPS-4BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient progr_ neurostim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1787","description":"Patient progr_ neurostim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients on peritoneal dialysis for any portion of the reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0052","description":"Patients on peritoneal dialysis for any portion of the reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8010","description":"HCPCS-C8010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2171","description":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408T","description":"Insj/rplc cardiac modulj sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28024","description":"Exploration of toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc fx & test/txmnt for op","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5015F","description":"Doc fx & test/txmnt for op","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (apotex)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9058","description":"Injection_ bendamustine hydrochloride (apotex)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15110","description":"Epidrm autogrft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh svc plan dev by non-md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0032","description":"Mh svc plan dev by non-md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88373","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456U","description":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64795","description":"Biopsy of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Consult inc prep of slides","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0485","description":"Consult inc prep of slides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC120","description":"HIPPS-LC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts not don","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8674","description":"Fun stat scor nek/ts not don","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99281","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20A","description":"HIPPS-BA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10A","description":"HIPPS-ES10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0968T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0968T","description":"CPT-0968T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKX","description":"HIPPS-5CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52301","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reticyte/hgb concentrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85046","description":"Reticyte/hgb concentrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sex hormone globul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84270","description":"Assay of sex hormone globul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE221","description":"HIPPS-PE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0773T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX32","description":"HIPPS-RHX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/ coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4561F","description":"Pt w/ coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0633T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41822","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystectomy/explr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47564","description":"Laparo cholecystectomy/explr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4526","description":"Adult size pull-on med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Review patient spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94016","description":"Review patient spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1070T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1070T","description":"CPT-1070T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restrata_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2007","description":"Restrata_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vantas implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9225","description":"Vantas implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33030","description":"Partial removal of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder blade fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23575","description":"Treat shoulder blade fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tinnitus assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92625","description":"Tinnitus assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of oral tissue soft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7286","description":"Biopsy of oral tissue soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection ferric pyrophosphate citrate solution 0.1 mg iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9976","description":"Injection ferric pyrophosphate citrate solution 0.1 mg iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90875","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX41","description":"HIPPS-RVX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tubular dressing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6457","description":"Tubular dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aldesleukin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9015","description":"Aldesleukin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 contents_ liquid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0444","description":"Portable 02 contents_ liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolong clincl staff svc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99415","description":"Prolong clincl staff svc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occlude fallopian tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58615","description":"Occlude fallopian tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI for tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77022","description":"MRI for tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30465","description":"Repair nasal stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12A","description":"HIPPS-PC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atomic absorption","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82190","description":"Atomic absorption","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter w/bag 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4313","description":"Catheter w/bag 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29700","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA03","description":"HIPPS-AAA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breath hydrogen/methane test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91065","description":"Breath hydrogen/methane test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam k transpl w/doppler","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76776","description":"Us exam k transpl w/doppler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4435","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4435","description":"HCPCS-Q4435","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ piperacillin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0081","description":"Injection_ piperacillin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deferoxamine mesylate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0895","description":"Deferoxamine mesylate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4437","description":"HCPCS-Q4437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMT","description":"HIPPS-2AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93569","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein five","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33522","description":"Cabg artery-vein five","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Sandwich","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1761","description":"Home Delivered Meals-Sandwich","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Known Familial Variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81308","description":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Known Familial Variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPW","description":"HIPPS-3AHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean birth class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9438","description":"Cesarean birth class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC206","description":"HIPPS-HC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01968","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01968","description":"CPT-01968","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK4","description":"HIPPS-4AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMT","description":"HIPPS-3BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services used by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9709","description":"Hospice services used by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoablate renal mass open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50250","description":"Cryoablate renal mass open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina tissue compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57111","description":"Remove vagina tissue compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8815","description":"Doc reas no statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No beta-lactam abx ther_ rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9560","description":"No beta-lactam abx ther_ rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18E","description":"HIPPS-LD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPT","description":"HIPPS-3BGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB241","description":"HIPPS-LB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis_ by groin incision_ unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis_ by groin incision_ unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spkt/v greater than or equal to 1. 2 (single-pool clearance of urea [kt] / volume [v])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8713","description":"Spkt/v greater than or equal to 1. 2 (single-pool clearance of urea [kt] / volume [v])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mon anesth care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9654","description":"Mon anesth care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372U","description":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumbar artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22862","description":"Revise lumbar artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2093","description":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pertechnetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9512","description":"Tc99m pertechnetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0588U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0588U","description":"CPT-0588U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12014","description":"Rpr f/e/e/n/l/m 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc limited","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9068","description":"Onc dx sclc/nsclc limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31610","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES335","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES335","description":"HIPPS-ES335","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0591U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0591U","description":"CPT-0591U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant not specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80338","description":"Antidepressant not specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA101","description":"HIPPS-BA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286U","description":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7676","description":"Pentamidine comp unit dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88377","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00873","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00873","description":"CPT-00873","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD236","description":"HIPPS-HD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11446","description":"Exc face-mm b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4269","description":"Surgraft xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levamisole 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0177","description":"Levamisole 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0301","description":"HCPCS-A0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18B","description":"HIPPS-HC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87497","description":"Cytomeg dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specimen handling office-lab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99000","description":"Specimen handling office-lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cam relese assem ftrst/lgrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0051","description":"Cam relese assem ftrst/lgrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus after cesarean","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59525","description":"Remove uterus after cesarean","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10007","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7402","description":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair lead pace-defib one","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33218","description":"Repair lead pace-defib one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86052","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01932","description":"CPT-01932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB217","description":"HIPPS-BB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 5999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4726","description":"Dialys sol fld vol > 5999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54324","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0018","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0670U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0670U","description":"CPT-0670U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9367","description":"Hit tpn 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"U/s trtmt_ not leiomyomata","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9734","description":"U/s trtmt_ not leiomyomata","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw < 3 yrs fem/jugular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36400","description":"Bl draw < 3 yrs fem/jugular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18B","description":"HIPPS-LD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn over 3l diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9368","description":"Hit tpn over 3l diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32480","description":"Partial removal of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens gas permeable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2531","description":"Contact lens gas permeable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: head trauma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2187","description":"Patients with clinical indications for imaging of the head: head trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5145","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5145","description":"HCPCS-Q5145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay thyroid stim hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84443","description":"Assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family stabilization 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9482","description":"Family stabilization 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC156","description":"HIPPS-HC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ other than sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1882","description":"Aicd_ other than sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA53","description":"HIPPS-RLA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brow nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64732","description":"Incision of brow nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Somatrem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2940","description":"Somatrem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB25","description":"HIPPS-RMB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE111","description":"HIPPS-HE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21A","description":"HIPPS-HC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6601","description":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL6","description":"HIPPS-3BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17262","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81349","description":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hx bld transf b/f 1992","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9449","description":"Hx bld transf b/f 1992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0490","description":"Belimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21127","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92311","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodic orthodontc tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8670","description":"Periodic orthodontc tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7658","description":"Isoproterenol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc expectant management pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9053","description":"Onc expectant management pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3807","description":"Whfo w/o joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD101","description":"HIPPS-PD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation for wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9156","description":"Evaluation for wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fc receptor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86243","description":"Fc receptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0523U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0523U","description":"CPT-0523U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0506T","description":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collagen drsg>16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6022","description":"Collagen drsg>16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99307","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC144","description":"HIPPS-LC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specialized Medical Equipment and Supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0137","description":"Specialized Medical Equipment and Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00794","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00794","description":"CPT-00794","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1101","description":"CDT-D1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies stand/rack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1355","description":"Oxygen supplies stand/rack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78205","description":"Liver imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68500","description":"Removal of tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33535","description":"Cabg arterial three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc ext at dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9069","description":"Onc dx sclc/nsclc ext at dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA51","description":"HIPPS-RLA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ arm_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6523","description":"Gradient compression garment_ arm_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0684","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0684","description":"HCPCS-G0684","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35661","description":"Art byp femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7609","description":"Albuterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54336","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyqvia 100mg immuneglobulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1575","description":"Hyqvia 100mg immuneglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0A","description":"HIPPS-RUB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0752","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0752","description":"HCPCS-J0752","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM6","description":"HIPPS-2BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ventricle muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33416","description":"Revise ventricle muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB113","description":"HIPPS-HB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76019","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76019","description":"CPT-76019","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13120","description":"Cmplx rpr s/a/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLV","description":"HIPPS-4CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA121","description":"HIPPS-CA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK5","description":"HIPPS-5CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26715","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert xdrl bdy lmbr/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63303","description":"Remov vert xdrl bdy lmbr/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22610","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62325","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0A","description":"HIPPS-RUX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behavral qualit analys voice","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92524","description":"Behavral qualit analys voice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26418","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytp fna eval ea addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88177","description":"Cytp fna eval ea addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15A","description":"HIPPS-HE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35538","description":"Art byp grft aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML21","description":"HIPPS-RML21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28665","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg sacrococ teratoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2405","description":"Fetal surg sacrococ teratoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB32","description":"HIPPS-RHB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symptom&sign symm polyneuro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1500F","description":"Symptom&sign symm polyneuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor x stuart-power","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85260","description":"Clot factor x stuart-power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0595U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0595U","description":"CPT-0595U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB56","description":"HIPPS-RMB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Provisional pontic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6253","description":"Provisional pontic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ velmanase alfa-tycv_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0217","description":"Injection_ velmanase alfa-tycv_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney stone destruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87351","description":"Anesth kidney stone destruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motion fluoroscopy/swallow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92611","description":"Motion fluoroscopy/swallow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain 2 piece system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4426","description":"Ost pch drain 2 piece system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abl1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81170","description":"Abl1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt edu re alcoh drnkng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4158F","description":"Pt edu re alcoh drnkng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg3-noprogress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9074","description":"Onc dx brst stg3-noprogress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0852T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cauterization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57510","description":"Cauterization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper limb orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3999","description":"Upper limb orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37274","description":"CPT-37274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt not on statin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9508","description":"Doc pt not on statin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6195","description":"Abutment Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Refitting of obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5933","description":"Refitting of obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1390","description":"Oxygen concentrator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miroderm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4175","description":"Miroderm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/o eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37216","description":"Transcath stent cca w/o eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27445","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anticoag clinic per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9401","description":"Anticoag clinic per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44141","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 4 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3380F","description":"Ajcc brstcncr stage 4 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of System Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Unable To Locate Previous Colonoscopy Report_ Previous Colonoscopy Rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9999","description":"Documentation Of System Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Unable To Locate Previous Colonoscopy Report_ Previous Colonoscopy Rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28A","description":"HIPPS-LE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat dental ridge fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21440","description":"Treat dental ridge fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA10","description":"HIPPS-RVA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB136","description":"HIPPS-HB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43107","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1456","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1456","description":"HCPCS-M1456","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLU","description":"HIPPS-2CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/lung bx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31632","description":"Bronchoscopy/lung bx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analgesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9230","description":"Analgesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25445","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD210","description":"HIPPS-CD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK4","description":"HIPPS-2BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl ambient or axolotl cryo_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4215","description":"Axolotl ambient or axolotl cryo_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card tamp w/in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9408","description":"Card tamp w/in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54348","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9488","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLV","description":"HIPPS-4CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB46","description":"HIPPS-RHB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67515","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bp scrn no perf at interval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8785","description":"Bp scrn no perf at interval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80204","description":"Methotrexate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ metronidazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0030","description":"Injection_ metronidazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5639","description":"Below knee wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tooth root removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7250","description":"Tooth root removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 25-28 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2265","description":"Induced abortion 25-28 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6120","description":"Implant Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99191","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5278","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy & pylorus repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43640","description":"Vagotomy & pylorus repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ht care plan doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4050F","description":"Ht care plan doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polycarb lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0580","description":"Polycarb lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert balloon device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33973","description":"Insert balloon device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61580","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99241","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15944","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58260","description":"Vaginal hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 1999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4722","description":"Dialys sol fld vol > 1999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp prob 1+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87501","description":"Influenza dna amp prob 1+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1010","description":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vestibular test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92533","description":"Caloric vestibular test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0581U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0581U","description":"CPT-0581U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-linked intellectual dblt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81471","description":"X-linked intellectual dblt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63102","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31294","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB113","description":"HIPPS-BB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/biopsy(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31625","description":"Bronchoscopy w/biopsy(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast high noble m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2790","description":"Crown full cast high noble m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1484","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1484","description":"HCPCS-M1484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy_ Extended; With Drawing Of Optic Nerve Or Macula (Eg_ For Glaucoma_ Macular Pathology_ Tumor) With Interpretation And Report_ Unilateral Or Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92202","description":"Ophthalmoscopy_ Extended; With Drawing Of Optic Nerve Or Macula (Eg_ For Glaucoma_ Macular Pathology_ Tumor) With Interpretation And Report_ Unilateral Or Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3386","description":"HCPCS-J3386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL40","description":"HIPPS-RHL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1098","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1098","description":"HCPCS-J1098","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis type 2 posit jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2570","description":"Hip clevis type 2 posit jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tonsils and adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42821","description":"Remove tonsils and adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrvasc us noncoronary addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37253","description":"Intrvasc us noncoronary addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in not con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6697","description":"Cus elbo skt in not con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77285","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ sock interscap-tho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6690","description":"Frame typ sock interscap-tho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Underarm crutch pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4635","description":"Underarm crutch pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tactile breast img uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422T","description":"Tactile breast img uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS or NRAS) gene mutation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9843","description":"RAS (KRAS or NRAS) gene mutation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0680","description":"Non-pneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part remove hip bone super","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27070","description":"Part remove hip bone super","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8040","description":"Nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech evaluation complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70371","description":"Speech evaluation complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95706","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of physical therapy established plan of care_ requiring these components: An examination including a review of history and use of standardized tests and measures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97164","description":"Re-evaluation of physical therapy established plan of care_ requiring these components: An examination including a review of history and use of standardized tests and measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26641","description":"Treat thumb dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermal filler inj px/suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9800","description":"Dermal filler inj px/suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23B","description":"HIPPS-HD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB141","description":"HIPPS-LB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9592","description":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etanercept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1438","description":"Etanercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01470","description":"CPT-01470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen test marrow b/4 tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3155F","description":"Cytogen test marrow b/4 tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-phospholipid antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86148","description":"Anti-phospholipid antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone algrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20930","description":"Sp bone algrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult speech aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5953","description":"Adult speech aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hg a1c level lt 7.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3044F","description":"Hg a1c level lt 7.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0691U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0691U","description":"CPT-0691U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood collection tube/vacuum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4770","description":"Blood collection tube/vacuum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NuDYN DL or NuDYN DL MESH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4285","description":"NuDYN DL or NuDYN DL MESH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musc test done w/n test comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95886","description":"Musc test done w/n test comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter for hysterography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58340","description":"Catheter for hysterography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB05","description":"HIPPS-RUB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haloperidol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80173","description":"Assay of haloperidol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of finger abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26011","description":"Drainage of finger abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosthesis per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7520","description":"Repair prosthesis per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vaccine adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90632","description":"Hepa vaccine adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal scaling & root","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4341","description":"Periodontal scaling & root","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE255","description":"HIPPS-CE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25907","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace chest compress vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7025","description":"Replace chest compress vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355U","description":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ endo single coil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1777","description":"Lead_ aicd_ endo single coil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory eeg monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95950","description":"Ambulatory eeg monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69300","description":"Revise external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1557","description":"Removal Of Fixed Bilateral Space Maintainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM6","description":"HIPPS-2CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of skull seams","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61550","description":"Release of skull seams","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ caplacizumab-yhdp_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9047","description":"Injection_ caplacizumab-yhdp_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semi-precision attachment - placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6192","description":"Semi-precision attachment - placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Discography cerv/thor spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72285","description":"Discography cerv/thor spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0617U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0617U","description":"CPT-0617U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA01","description":"HIPPS-RVA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Water circ heat pad w pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0217","description":"Water circ heat pad w pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0599U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0599U","description":"CPT-0599U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1237","description":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12021","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB245","description":"HIPPS-BB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL1","description":"HIPPS-1CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305U","description":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breast pump bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4285","description":"Replcmnt breast pump bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPX","description":"HIPPS-1AGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig bmi calculation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8422","description":"Pt inelig bmi calculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL2","description":"HIPPS-2AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So acro/clav can web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3670","description":"So acro/clav can web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95833","description":"Body muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27600","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ (AuroMedics)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9071","description":"Injection_ cyclophosphamide_ (AuroMedics)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year reprod tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89344","description":"Storage/year reprod tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stim for shock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0745","description":"Neuromuscular stim for shock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lamellas xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4291","description":"Lamellas xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1302","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1302","description":"CDT-D1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic mens shoes oxford","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3219","description":"Orthopedic mens shoes oxford","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin pneum swg frc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5822","description":"Endo knee-shin pneum swg frc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23330","description":"Remove shoulder foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"So 8 abd restraint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3650","description":"So 8 abd restraint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10C","description":"HIPPS-HE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21554","description":"Exc neck tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99425","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove fix space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1555","description":"Remove fix space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27111","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ pasireotide long acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2502","description":"Inj_ pasireotide long acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15D","description":"HIPPS-HC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lower leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27635","description":"Remove lower leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49187","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49187","description":"CPT-49187","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10D","description":"HIPPS-CC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx platelet plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232T","description":"Njx platelet plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65135","description":"Insert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc ref upper gi endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3132F","description":"Doc ref upper gi endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM3","description":"HIPPS-1CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0239","description":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28B","description":"HIPPS-PA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25312","description":"Transplant forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69915","description":"Incise inner ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61641","description":"Dilate ic vasospasm add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43360","description":"Gastrointestinal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee orth pos locking joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1831","description":"Knee orth pos locking joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9351","description":"Doc >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L7406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7406","description":"HCPCS-L7406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63272","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK3","description":"HIPPS-1AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biodfence dryflex_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4138","description":"Biodfence dryflex_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8691","description":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9313","description":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open bowel to skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44300","description":"Open bowel to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation Pros Tr Hifu Incl I Guid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9747","description":"Ablation Pros Tr Hifu Incl I Guid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75561","description":"Cardiac MRI for morph w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_hemodialysis_short-term","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1752","description":"Cath_hemodialysis_short-term","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat & moisture exchange sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7509","description":"Heat & moisture exchange sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38129","description":"Laparoscope proc spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43195","description":"Esophagoscopy rigid balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"F18 fdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9552","description":"F18 fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7939","description":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ortho sidebar disconnect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2768","description":"Ortho sidebar disconnect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53425","description":"Reconstruct urethra stage 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj excisn of joint membrane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7854","description":"Tmj excisn of joint membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of palm bursas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26030","description":"Drainage of palm bursas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC15","description":"HIPPS-RHC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX51","description":"HIPPS-RVX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8G","description":"HIPPS-RHC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28A","description":"HIPPS-PB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87486","description":"Chylmd pneum dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM6","description":"HIPPS-3AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4528","description":"Adult size pull-on xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt=d(rh)+ or sensitized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3291F","description":"Pt=d(rh)+ or sensitized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cont intraop neuro monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0453","description":"Cont intraop neuro monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1093T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1093T","description":"CPT-1093T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE113","description":"HIPPS-PE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36904","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB141","description":"HIPPS-HB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0742T","description":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86408","description":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counseling 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96040","description":"Genetic counseling 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0071","description":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19369","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal blood scrn immunoassay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0328","description":"Fecal blood scrn immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC10","description":"HIPPS-RMC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neisseria meningitidis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86741","description":"Neisseria meningitidis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb ag response t-cell susp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86481","description":"Tb ag response t-cell susp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15004","description":"Wound prep f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78814","description":"Pet image w/ct lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE117","description":"HIPPS-LE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pelvis surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84451","description":"Anesth pelvis surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr rem hernia init reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49550","description":"Rpr rem hernia init reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lat thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22532","description":"Lat thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13B","description":"HIPPS-HB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gr27 non-sealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2372","description":"Gr27 non-sealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m aerosol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9567","description":"Technetium tc-99m aerosol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg_ myotonic dystrophy type 2) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81187","description":"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg_ myotonic dystrophy type 2) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/o stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97810","description":"Acupunct w/o stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initiation of medication for the treatment of opioid use disorder in the emergency department setting_ including assessment_ referral to ongoing care_ and arranging access to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2213","description":"Initiation of medication for the treatment of opioid use disorder in the emergency department setting_ including assessment_ referral to ongoing care_ and arranging access to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Circumcision w/regionl block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54150","description":"Circumcision w/regionl block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antihemophilic viii/vwf comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7186","description":"Antihemophilic viii/vwf comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34151","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine documented as administered or previously received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1064","description":"Shingrix vaccine documented as administered or previously received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Note hring tst w/in 6 mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3230F","description":"Note hring tst w/in 6 mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE125","description":"HIPPS-PE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho heel count plast reinfor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3430","description":"Sho heel count plast reinfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-61715","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61715","description":"CPT-61715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ breast_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1789","description":"Prosthesis_ breast_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9991","description":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28645","description":"Repair toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2781","description":"Crown 3/4 cast base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25150","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1173","description":"Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx nodule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32608","description":"Thoracoscopy w/bx nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49659","description":"Laparo proc hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gemcitabine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9201","description":"Gemcitabine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0381","description":"Cone beam ct capt mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wc van mileage per mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0209","description":"Wc van mileage per mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal mucosal integrity testing by electrical impedance_ transoral (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9777","description":"Esophageal mucosal integrity testing by electrical impedance_ transoral (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33414","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1A","description":"HIPPS-RLA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sutimlimab-jome_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1302","description":"Injection_ sutimlimab-jome_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55815","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain thigh/knee lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27301","description":"Drain thigh/knee lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7659","description":"Isoproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11B","description":"HIPPS-CE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21079","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29875","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB42","description":"HIPPS-RLB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507T","description":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74263","description":"Ct colonography screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0513U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0513U","description":"CPT-0513U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide non-comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7644","description":"Ipratropium bromide non-comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destroy lumb/sac facet jnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64635","description":"Destroy lumb/sac facet jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral con def inter plt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5958","description":"Intraoral con def inter plt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00164","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00164","description":"CPT-00164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin ext jnts fld swg e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5726","description":"Knee-shin ext jnts fld swg e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK2","description":"HIPPS-3AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc elder mal scrn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8536","description":"No doc elder mal scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aluminum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82108","description":"Assay of aluminum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC215","description":"HIPPS-LC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of eye prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2626","description":"Reduction of eye prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incontinent rectal insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4337","description":"Incontinent rectal insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00630","description":"CPT-00630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic lightbox tabletp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0203","description":"Therapeutic lightbox tabletp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Htlv/hiv confirmj antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86689","description":"Htlv/hiv confirmj antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of external ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69105","description":"Biopsy of external ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticul switch ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6920","description":"Wrist disarticul switch ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0630T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conn tiss_ non-human","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1763","description":"Conn tiss_ non-human","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9742","description":"Laryngoscopy with injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IV Injection_ bebtelovimab_ includes injection and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0222","description":"IV Injection_ bebtelovimab_ includes injection and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1389","description":"HCPCS-M1389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB236","description":"HIPPS-PB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 3 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64492","description":"Inj paravert f jnt c/t 3 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coma stimulation per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9056","description":"Coma stimulation per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL3","description":"HIPPS-4AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skel musc relaxant 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80370","description":"Skel musc relaxant 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam infant hips dynamic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76885","description":"Us exam infant hips dynamic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bezlotoxumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0565","description":"Injection_ bezlotoxumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung ventilation imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78579","description":"Lung ventilation imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA211","description":"HIPPS-PA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8F","description":"HIPPS-RVA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anogenital exam child w imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99170","description":"Anogenital exam child w imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx mult myeloma stg2 hig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9129","description":"Onc dx mult myeloma stg2 hig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; first 60 minutes (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96547","description":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; first 60 minutes (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0881T","description":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse upper gi structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47721","description":"Fuse upper gi structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87529","description":"Hsv dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24C","description":"HIPPS-PB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15C","description":"HIPPS-PE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc w burn prior to d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8908","description":"Pt doc w burn prior to d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67120","description":"Remove eye implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocytotoxicity assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86805","description":"Lymphocytotoxicity assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27197","description":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8575","description":"Postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear nar m-l brim cu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2526","description":"Th/wght bear nar m-l brim cu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla or mandible resectio","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7490","description":"Maxilla or mandible resectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0681","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0681","description":"HCPCS-J0681","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine cord vsl thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63252","description":"Revise spine cord vsl thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2101","description":"HCPCS-B2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18E","description":"HIPPS-BB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artacent cord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4216","description":"Artacent cord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0084U","description":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of hemosiderin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83070","description":"Assay of hemosiderin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21C","description":"HIPPS-PA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9975","description":"Documentation of medical reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Last Colonoscopy Incomplete_ Last Colonoscopy Had Inadequate Prep_ Pi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9998","description":"Documentation Of Medical Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Last Colonoscopy Incomplete_ Last Colonoscopy Had Inadequate Prep_ Pi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMU","description":"HIPPS-2AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electron elbow adolescent sw","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7185","description":"Electron elbow adolescent sw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15769","description":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMV","description":"HIPPS-3AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40701","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tech other than surfc cultr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4261F","description":"Tech other than surfc cultr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1150F","description":"Doc pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eia hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0432","description":"Eia hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decalcification procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0475","description":"Decalcification procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semi-precision abutment - placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6191","description":"Semi-precision abutment - placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12D","description":"HIPPS-CA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pinch graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15050","description":"Skin pinch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84392","description":"Assay of urine sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1371","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1371","description":"HCPCS-M1371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKT","description":"HIPPS-1BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0675","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0675","description":"HCPCS-J0675","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attach ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65140","description":"Attach ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0603","description":"HCPCS-B0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK5","description":"HIPPS-1CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50290","description":"Removal of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nervous system surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64999","description":"Nervous system surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL15","description":"HIPPS-RVL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig osteo screen measu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8401","description":"Pt inelig osteo screen measu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31529","description":"Laryngoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (WG Critical Care)_ not therapeutically equivalent to J0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0687","description":"Injection_ cefazolin sodium (WG Critical Care)_ not therapeutically equivalent to J0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11B","description":"HIPPS-PC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enema tube_ with or without adapter_ any type_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4457","description":"Enema tube_ with or without adapter_ any type_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24371","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5655","description":"Socket insert below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23C","description":"HIPPS-LB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01274","description":"CPT-01274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB114","description":"HIPPS-HB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL26","description":"HIPPS-RVL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype infect agent drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87900","description":"Phenotype infect agent drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLW","description":"HIPPS-4AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21089","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hexaminolevulinate HCl_ 100 mg_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9275","description":"Injection_ hexaminolevulinate HCl_ 100 mg_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis comfort 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1152F","description":"Doc advncd dis comfort 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect back tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21936","description":"Resect back tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLW","description":"HIPPS-1BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK3","description":"HIPPS-4CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluorouracil injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9190","description":"Fluorouracil injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0163","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0163","description":"HCPCS-J0163","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flex foot system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5980","description":"Flex foot system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45341","description":"Sigmoidoscopy w/ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Etoposide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9181","description":"Etoposide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toilet seat raised","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0244","description":"Toilet seat raised","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intraoperative blood vessel microinfusion(s) (e.g._ intraluminal_ vascular wall and/or perivascular) ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9759","description":"Transcatheter intraoperative blood vessel microinfusion(s) (e.g._ intraluminal_ vascular wall and/or perivascular) ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0405","description":"HCPCS-B0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180T","description":"64 lead ecg w/i&r only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover_ wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4456","description":"Adhesive remover_ wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1B","description":"HIPPS-RUL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332T","description":"Heart symp image plnr spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amoxicillin_ with or without clavulanate_ not prescribed as first line antibiotic at the time of diagnosis for documented reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9313","description":"Amoxicillin_ with or without clavulanate_ not prescribed as first line antibiotic at the time of diagnosis for documented reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75898","description":"Follow-up angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1C","description":"HIPPS-RML1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv-hib-hepb vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90697","description":"Dtap-ipv-hib-hepb vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1373","description":"HCPCS-M1373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognit assessed and reviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1494F","description":"Cognit assessed and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial moulage sectional","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5911","description":"Facial moulage sectional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14B","description":"HIPPS-LB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versitiā¢ Coagulation Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270U","description":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versitiā¢ Coagulation Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no adeno/neopl detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9496","description":"Doc rsn no adeno/neopl detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33602","description":"Closure of valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot 2hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9581","description":"Md doc_ door to punc tm >2hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64555","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Anifrolumab-Fnia_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9086","description":"Injection_ Anifrolumab-Fnia_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion cable hip pelv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2050","description":"Hkafo torsion cable hip pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0837","description":"Pwc gp 2 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1492","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1492","description":"HCPCS-M1492","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Full sole/heel wedge btween","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3420","description":"Full sole/heel wedge btween","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA140","description":"HIPPS-CA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfx_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9045","description":"Injection_ moxetumomab pasudotox-tdfx_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15016","description":"CPT-15016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53600","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL4","description":"HIPPS-1BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB235","description":"HIPPS-HB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splint plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4017","description":"Cast sup lng arm splint plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test hemidiaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95866","description":"Muscle test hemidiaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB251","description":"HIPPS-PB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53000","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0587U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0587U","description":"CPT-0587U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90296","description":"Diphtheria antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor purchase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1030","description":"Gluc monitor purchase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53235","description":"Removal of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (Baxter)_ not therapeutically equivalent to J0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0874","description":"Injection_ daptomycin (Baxter)_ not therapeutically equivalent to J0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13C","description":"HIPPS-PE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27759","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electromyograph biofeedback","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0746","description":"Electromyograph biofeedback","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4D","description":"HIPPS-RHA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg 41-60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95812","description":"Eeg 41-60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27705","description":"Incision of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0566T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain tumor w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62164","description":"Remove brain tumor w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK5","description":"HIPPS-5CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental prophylaxis adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1110","description":"Dental prophylaxis adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB24","description":"HIPPS-RUB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical head harness/halter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0942","description":"Cervical head harness/halter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig med check","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8430","description":"Pt inelig med check","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioCyte Plus_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4242","description":"AmnioCyte Plus_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt silver oxide 1.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0601","description":"Repl batt silver oxide 1.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx med space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32606","description":"Thoracoscopy w/bx med space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46040","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018U","description":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26500","description":"Hand tendon reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) (list separately in addition to code for primary procedure(s))","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31620","description":"Endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) (list separately in addition to code for primary procedure(s))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syringe w/wo needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4657","description":"Syringe w/wo needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory system coronavirus 2 (SARS CoV-2) (Coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86769","description":"Antibody_ severe acute respiratory system coronavirus 2 (SARS CoV-2) (Coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bia whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358T","description":"Bia whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8A","description":"HIPPS-RLA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444T","description":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50075","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brst cncr stage 1 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3374F","description":"Ajcc brst cncr stage 1 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4263","description":"Surgraft tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0947T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0947T","description":"CPT-0947T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23455","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix non-recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7193","description":"Factor ix non-recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84586","description":"Assay of vip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autochondrocyte implant knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27412","description":"Autochondrocyte implant knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC217","description":"HIPPS-PC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parathyrd planar w/spect&ct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78072","description":"Parathyrd planar w/spect&ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap paraesophag hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43281","description":"Lap paraesophag hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK5","description":"HIPPS-3AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No unplnd hosp readm in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9309","description":"No unplnd hosp readm in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE151","description":"HIPPS-PE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107U","description":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8C","description":"HIPPS-RVX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New eye exam & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92018","description":"New eye exam & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC34","description":"HIPPS-RVC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months) post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1053","description":"Leg pain was measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months) post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24530","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt nf per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94004","description":"Vent mgmt nf per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93615","description":"Esophageal recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMT","description":"HIPPS-4AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o preop order iv ab pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8918","description":"Pt w/o preop order iv ab pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation Of Malignant Prostate Tissue_ Transrectal_ With High Intensity-Focused Ultrasound (Hifu)_ Including Ultrasound Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55880","description":"Ablation Of Malignant Prostate Tissue_ Transrectal_ With High Intensity-Focused Ultrasound (Hifu)_ Including Ultrasound Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61608","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12D","description":"HIPPS-PB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPT","description":"HIPPS-3CHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB234","description":"HIPPS-HB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ca screen;pelvic/breast exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0101","description":"Ca screen;pelvic/breast exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMV","description":"HIPPS-4AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0484T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance (eg_ vibration) elastography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76391","description":"Magnetic resonance (eg_ vibration) elastography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX51","description":"HIPPS-RLX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable Collection And Storage Bag For Breast Milk_ Any Size_ Any Type_ Each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1005","description":"Disposable Collection And Storage Bag For Breast Milk_ Any Size_ Any Type_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee disart_ sach ft_ endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5312","description":"Knee disart_ sach ft_ endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL1","description":"HIPPS-2CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain blood from under nail","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11740","description":"Drain blood from under nail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no 7d f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9406","description":"Doc reas no 7d f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31075","description":"Exploration of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22865","description":"Remove lumb artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC117","description":"HIPPS-LC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0901","description":"HCPCS-C0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sex chromatin identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88140","description":"Sex chromatin identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ maintenance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0281","description":"Medical home_ maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp lt 130 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3074F","description":"Syst bp lt 130 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ guiding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1887","description":"Catheter_ guiding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27257","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded to patient plasti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1940","description":"Afo molded to patient plasti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83012","description":"Assay of haptoglobins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27524","description":"Treat kneecap fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12036","description":"Intmd rpr s/a/t/ext 20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft t/a/l +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15152","description":"Cult skin graft t/a/l +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Car-car bp grft/endovas taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33891","description":"Car-car bp grft/endovas taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11721","description":"Debride nail 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9011","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9011","description":"HCPCS-J9011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder-vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57320","description":"Repair bladder-vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cid ext controller repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8628","description":"Cid ext controller repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lysis + lavage w catheters","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7871","description":"Lysis + lavage w catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7189","description":"Factor viia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13D","description":"HIPPS-BA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0543U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0543U","description":"CPT-0543U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure reading not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1281","description":"Blood pressure reading not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt referral for ect docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4067F","description":"Pt referral for ect docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5C","description":"HIPPS-RLB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18B","description":"HIPPS-CC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no compl antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9300","description":"Doc medrsn no compl antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27823","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE244","description":"HIPPS-PE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 52mg 3 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7297","description":"Levonorgestrel iu 52mg 3 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xe133 xenon 10mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9558","description":"Xe133 xenon 10mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular denture prosth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5935","description":"Mandibular denture prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8F","description":"HIPPS-RUB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00810","description":"CPT-00810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of middle ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69440","description":"Exploration of middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32609","description":"Thoracoscopy w/bx pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscope_ single-use (i.e. disposable)_ upper GI_ imaging/illumination device (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1748","description":"Endoscope_ single-use (i.e. disposable)_ upper GI_ imaging/illumination device (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Evicore_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1001","description":"Clinical Decision Support Mechanism Evicore_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13A","description":"HIPPS-PB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKW","description":"HIPPS-1CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93246","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67935","description":"Repair eyelid wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ria nonantibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83519","description":"Ria nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5253","description":"Hearing aid_ prog_ bin_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy care kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4629","description":"Tracheostomy care kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432T","description":"Repos nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5919","description":"Facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL1","description":"HIPPS-2CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0923T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0923T","description":"CPT-0923T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63655","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Fixed Retainer_ Includes Reattachment - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8702","description":"Repair Of Fixed Retainer_ Includes Reattachment - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long leg plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4029","description":"Cast sup long leg plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenytoin free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80186","description":"Assay of phenytoin free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation_ including imaging guidance (eg_ ultrasound and/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7549","description":"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation_ including imaging guidance (eg_ ultrasound and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44121","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"A/d tx program_ per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2035","description":"A/d tx program_ per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mthfr gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81291","description":"Mthfr gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66761","description":"Revision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD231","description":"HIPPS-PD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomal therapy by a re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9474","description":"Enterostomal therapy by a re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90690","description":"Typhoid vaccine oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB156","description":"HIPPS-BB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7570","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7570","description":"HCPCS-C7570","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88272","description":"Cytogenetics 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special eye evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92020","description":"Special eye evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK6","description":"HIPPS-4AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22837","description":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3379","description":"HCPCS-J3379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multidisciplinary care plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580F","description":"Multidisciplinary care plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp specs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43755","description":"Dx gastr intub w/asp specs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant hormone pellet(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11980","description":"Implant hormone pellet(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo probably bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3343F","description":"Mammo probably bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Azacitidine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9025","description":"Azacitidine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1227","description":"Wheelchair spec sz spec ht a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing solid stirrup calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1980","description":"Afo sing solid stirrup calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of inner eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66770","description":"Removal of inner eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55810","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31755","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28531","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin extended release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9016","description":"Injection_ triptorelin extended release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flu imm no admin doc rea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8483","description":"Flu imm no admin doc rea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK3","description":"HIPPS-3AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46610","description":"Anoscopy remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respirator motion mgmt simul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77293","description":"Respirator motion mgmt simul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental connector bar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6920","description":"Dental connector bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin fluid swg/sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5828","description":"Endo knee-shin fluid swg/sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12B","description":"HIPPS-HB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9902","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer); genomic sequence analysis panel_ must incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81432","description":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer); genomic sequence analysis panel_ must incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93784","description":"Ambulatory bp monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypertonic saline sol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7131","description":"Hypertonic saline sol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belt/vest elec/combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0499","description":"Belt/vest elec/combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81596","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78481","description":"Heart first pass single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4360","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4360","description":"HCPCS-Q4360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor ii prothrom spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85210","description":"Clot factor ii prothrom spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD154","description":"HIPPS-CD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67108","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0081","description":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35271","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01991","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01991","description":"CPT-01991","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Progenamatrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4222","description":"Progenamatrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL6","description":"HIPPS-2CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26450","description":"Incision of palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol carb > 50%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4180","description":"Parenteral sol carb > 50%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53420","description":"Reconstruct urethra stage 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroestradiol f18_ diagnostic_ 1 mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9060","description":"Fluoroestradiol f18_ diagnostic_ 1 mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36902","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69205","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA34","description":"HIPPS-RVA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29846","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580T","description":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low frequency non-thermal us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97610","description":"Low frequency non-thermal us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients With A Catheter That Have Limited Life Expectancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0050","description":"Patients With A Catheter That Have Limited Life Expectancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi&small intest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74245","description":"X-ray upper gi&small intest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9048","description":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472T","description":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36483","description":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8F","description":"HIPPS-RLX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periodic oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0120","description":"Periodic oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of temporal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69535","description":"Remove part of temporal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9882","description":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7528","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0667","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0667","description":"HCPCS-G0667","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cushioned headrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0955","description":"Cushioned headrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01942","description":"CPT-01942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK4","description":"HIPPS-3AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37215","description":"Transcath stent cca w/eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16374","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16374","description":"CPT-16374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt or manip for maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8990","description":"Pt or manip for maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp w/fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46258","description":"Remove in/ex hem grp w/fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPW","description":"HIPPS-1CHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0782T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33675","description":"Close mult vsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43192","description":"Esophagoscp rig trnso inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial complete study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93886","description":"Intracranial complete study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC104","description":"HIPPS-LC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caries preventive medicament application - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1355","description":"Caries preventive medicament application - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening performed and negative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9920","description":"Screening performed and negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD230","description":"HIPPS-LD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of breast open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19101","description":"Biopsy of breast open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMT","description":"HIPPS-3CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-3/> piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21147","description":"Lefort i-3/> piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain/barr lk flng/f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4427","description":"Ost pch drain/barr lk flng/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP4","description":"HIPPS-3BFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt_bon void filler-strip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9362","description":"Implnt_bon void filler-strip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28A","description":"HIPPS-CD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC260","description":"HIPPS-HC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMW","description":"HIPPS-2AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screen mammo doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3014F","description":"Screen mammo doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9092","description":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA135","description":"HIPPS-BA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA24","description":"HIPPS-RMA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outer ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69399","description":"Outer ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag and followup no rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9550","description":"Abd imag and followup no rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo bx proven malig docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3350F","description":"Mammo bx proven malig docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27822","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol > 100gm prote","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4199","description":"Parenteral sol > 100gm prote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revita_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4180","description":"Revita_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0046","description":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin respon genetic test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9143","description":"Warfarin respon genetic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4005","description":"Family Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26121","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44151","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKS","description":"HIPPS-5CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51880","description":"Repair of bladder opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22D","description":"HIPPS-PA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25B","description":"HIPPS-PB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24400","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL15","description":"HIPPS-RUL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK4","description":"HIPPS-3AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31086","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0791T","description":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0607U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0607U","description":"CPT-0607U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unplnd ret to surg w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9308","description":"Unplnd ret to surg w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0482T","description":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22819","description":"Kyphectomy 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hf measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8548","description":"Hf measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5926","description":"Replacement nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish inner ear window","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69820","description":"Establish inner ear window","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with reactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1232","description":"Patient receives hcv antibody test with reactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed bilat space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1515","description":"Fixed bilat space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42970","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml remission","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9126","description":"Onc dx cml remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit alpha-1-proteinas diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9346","description":"Hit alpha-1-proteinas diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets Pathogen Reduced Ea Unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9988","description":"Platelets Pathogen Reduced Ea Unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN4","description":"HIPPS-1AFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0115U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults who are not ambulatory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1068","description":"Adults who are not ambulatory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5160","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5160","description":"HCPCS-Q5160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL5","description":"HIPPS-2CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC235","description":"HIPPS-LC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd w/transmural drain cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43240","description":"Egd w/transmural drain cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy orchiopexy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54692","description":"Laparoscopy orchiopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay for calprotectin fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83993","description":"Assay for calprotectin fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2202","description":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13B","description":"HIPPS-ES13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES101","description":"HIPPS-ES101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL6","description":"HIPPS-1AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement interface spsd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1821","description":"Replacement interface spsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Death did not occur after discharge from the hospital within 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9817","description":"Death did not occur after discharge from the hospital within 30 days post procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA30","description":"HIPPS-RUA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of rbc pg6d enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84085","description":"Assay of rbc pg6d enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"L hrt cath trnsptl puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93462","description":"L hrt cath trnsptl puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5213","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surg lower abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84051","description":"Anesth surg lower abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 4/5 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72083","description":"X-ray exam entire spi 4/5 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2002","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2002","description":"CDT-D2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLT","description":"HIPPS-4BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plnning pt spec fenest graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34839","description":"Plnning pt spec fenest graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24147","description":"Partial removal of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC46","description":"HIPPS-RHC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imaging coil_ mr_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1770","description":"Imaging coil_ mr_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q2058","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"HCPCS-Q2058","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76946","description":"Echo guide for amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES204","description":"HIPPS-ES204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafix Prime and GrafixPL Prime_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4133","description":"Grafix Prime and GrafixPL Prime_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chap services at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9473","description":"Chap services at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB151","description":"HIPPS-LB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93312","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tbo-filgrastim_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1446","description":"Injection_ tbo-filgrastim_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081U","description":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5926","description":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01502","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01502","description":"CPT-01502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod solid food suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9434","description":"Mod solid food suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23A","description":"HIPPS-LB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18X","description":"HIPPS-PE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1477","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1477","description":"HCPCS-M1477","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP3","description":"HIPPS-3AHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip/thigh fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27025","description":"Incision of hip/thigh fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX26","description":"HIPPS-RMX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triptorelin pamoate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3315","description":"Triptorelin pamoate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Planar seat for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2292","description":"Planar seat for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2620","description":"Pmkr_ single_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mon cable elec/pneum vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0486","description":"Mon cable elec/pneum vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0085","description":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88161","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii vw ristoctn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85245","description":"Clot factor viii vw ristoctn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK5","description":"HIPPS-3CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlh w/t/o 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58571","description":"Tlh w/t/o 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SUPRATHEL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2012","description":"SUPRATHEL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpowered pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0373","description":"Nonpowered pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP5","description":"HIPPS-1AFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2930","description":"Methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0493","description":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD256","description":"HIPPS-PD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA126","description":"HIPPS-CA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28F","description":"HIPPS-CD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225U","description":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Csit lowrisk surg pts preop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8961","description":"Csit lowrisk surg pts preop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroejaculation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55870","description":"Electroejaculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1630","description":"Haloperidol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82044","description":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng glucoco thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4192F","description":"Pt not rcvng glucoco thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 20 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1020","description":"Methylprednisolone 20 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decitabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0894","description":"Decitabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev resin rest_ perm tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1352","description":"Prev resin rest_ perm tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sternum separation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21750","description":"Repair of sternum separation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hinge extension/flex wrist/f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3900","description":"Hinge extension/flex wrist/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL2","description":"HIPPS-4AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0084","description":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1502","description":"HCPCS-C1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7522","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng prgrm eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305T","description":"Icar ischm mntrng prgrm eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/maint cont hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4890","description":"Repair/maint cont hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1304","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1304","description":"CDT-D1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vbac care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59614","description":"Vbac care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO knee intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9727","description":"Patient unable to complete the FOTO knee intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Visco-3_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7333","description":"Hyaluronan or derivative_ Visco-3_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tibial fracture rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2116","description":"Afo tibial fracture rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10C","description":"HIPPS-CD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine & cord cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63194","description":"Incise spine & cord cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94051","description":"Anesth vaginal procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric no recurrence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9100","description":"Onc dx gastric no recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endoscopy performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3130F","description":"Upper gi endoscopy performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX51","description":"HIPPS-RMX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8I","description":"HIPPS-RML8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11B","description":"HIPPS-HB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61151","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1046T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1046T","description":"CPT-1046T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24B","description":"HIPPS-CA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9176","description":"Speech lang d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3B","description":"HIPPS-RMX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14001","description":"Tis trnfr trunk 10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13A","description":"HIPPS-LB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calcium glycer & lact/10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0620","description":"Calcium glycer & lact/10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4A","description":"HIPPS-RUA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7509","description":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test for porphobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84106","description":"Test for porphobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23105","description":"Remove shoulder joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59140","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52330","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography thoracic spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72255","description":"Myelography thoracic spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46257","description":"Remove in/ex hem grp & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0704","description":"HCPCS-B0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56634","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87540","description":"Legion pneumo dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dehydroepiandrosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82626","description":"Dehydroepiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86619","description":"Borrelia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2101","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q6h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9503","description":"Hit antibiotic q6h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dermapure 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4152","description":"Dermapure 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat skull fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62005","description":"Treat skull fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14A","description":"HIPPS-LE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electromagnetic therapy onc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0295","description":"Electromagnetic therapy onc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15773","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84425","description":"Assay of vitamin b-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18H","description":"HIPPS-PA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus ipv sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90713","description":"Poliovirus ipv sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86658","description":"Enterovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption studies combined_ with and without intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78272","description":"Vitamin B-12 absorption studies combined_ with and without intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9807","description":"HCPCS-C9807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of pyloric muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43520","description":"Incision of pyloric muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epinephrine (belcher) not therapeutically equivalent to j0171_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0173","description":"Injection_ epinephrine (belcher) not therapeutically equivalent to j0171_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy w/us needle bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43232","description":"Esophagoscopy w/us needle bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA46","description":"HIPPS-RMA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech amb infusion pump <8hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0780","description":"Mech amb infusion pump <8hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0057U","description":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rec cortico>60d 1rx 600mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9470","description":"No rec cortico>60d 1rx 600mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4100","description":"Skin substitute_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ FDA-cleared as a device_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4100","description":"Skin substitute_ FDA-cleared as a device_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20B","description":"HIPPS-CD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posaconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80187","description":"Posaconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85421","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52051","description":"Anesth chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85441","description":"Heinz bodies direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Npo (nothing-mouth) ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6020F","description":"Npo (nothing-mouth) ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKT","description":"HIPPS-2BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transport portable x-ray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0070","description":"Transport portable x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0304","description":"HCPCS-C0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy addl lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63044","description":"Laminotomy addl lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm each no wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0116","description":"Crutch underarm each no wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1303","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB224","description":"HIPPS-PB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit inj interferon diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9559","description":"Hit inj interferon diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie_ ex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81211","description":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie_ ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo unilat torsion cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2080","description":"Hkafo unilat torsion cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0832T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/computer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95953","description":"Eeg monitoring/computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1270","description":"Abdominal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); modulating antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86043","description":"Acetylcholine receptor (AChR); modulating antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76979","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"3-d radiotherapy plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77295","description":"3-d radiotherapy plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43621","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-visit patient screening","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9912","description":"Pre-visit patient screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM2","description":"HIPPS-3BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration_ with single automated_ standardized instrument via electronic platform_ with automated result only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96146","description":"Psychological or neuropsychological test administration_ with single automated_ standardized instrument via electronic platform_ with automated result only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63706","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35251","description":"Anesth neck vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA12","description":"HIPPS-RLA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0565","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0565","description":"HCPCS-G0565","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKS","description":"HIPPS-1CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth w/o gen/neurax anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4560F","description":"Anesth w/o gen/neurax anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tint_ any color/solid/grad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2745","description":"Tint_ any color/solid/grad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12D","description":"HIPPS-CC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4530","description":"Ped size brief/diaper lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2298","description":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1116","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rplcmt dfb gen 2 lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33263","description":"Rmvl & rplcmt dfb gen 2 lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ dual_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2619","description":"Pmkr_ dual_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of speech fluency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92521","description":"Evaluation of speech fluency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKS","description":"HIPPS-3BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust cmplt mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5411","description":"Dentures adjust cmplt mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle/rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21705","description":"Revision of neck muscle/rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34471","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB25","description":"HIPPS-RUB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20B","description":"HIPPS-ES20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ socket bel elbow/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6687","description":"Frame typ socket bel elbow/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine sc or im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90581","description":"Anthrax vaccine sc or im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA30","description":"HIPPS-RVA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28A","description":"HIPPS-PA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA02","description":"HIPPS-RHA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine potassium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84133","description":"Assay of urine potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11005","description":"Debride abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cold agglutinin titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86157","description":"Cold agglutinin titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK3","description":"HIPPS-2CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA07","description":"HIPPS-AAA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8B","description":"HIPPS-RMX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additional spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22585","description":"Additional spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLS","description":"HIPPS-3AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0508T","description":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo state","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9151","description":"Mapcp demo state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70460","description":"Ct head/brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom glove for term device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6895","description":"Custom glove for term device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4040","description":"Cast sup shrt leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28530","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48155","description":"Removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA145","description":"HIPPS-CA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendance at delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99464","description":"Attendance at delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0434","description":"Specialty care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9767","description":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20100","description":"Explore wound neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guide cathet fluid drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10030","description":"Guide cathet fluid drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Great toe-hand transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26551","description":"Great toe-hand transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB40","description":"HIPPS-RHB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL06","description":"HIPPS-RHL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-eval post-op visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0171","description":"Re-eval post-op visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ initial plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0280","description":"Medical home_ initial plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33778","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear canal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69140","description":"Remove ear canal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8900","description":"Mra w/cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-osseointegrated snd proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8692","description":"Non-osseointegrated snd proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL17","description":"HIPPS-RHL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn scope pt >85y","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9660","description":"Doc med rsn scope pt >85y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long tongue stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2265","description":"Long tongue stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62329","description":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker leg extenders set of4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0158","description":"Walker leg extenders set of4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated fundus eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2020F","description":"Dilated fundus eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentazocine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3070","description":"Pentazocine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq tx malar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21355","description":"Perq tx malar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32220","description":"Release of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebound matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4296","description":"Rebound matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7647","description":"Isoetharine comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair detachable a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1084","description":"Hemi-wheelchair detachable a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxacillin sodium injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2700","description":"Oxacillin sodium injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fistula repair transperine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57308","description":"Fistula repair transperine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert endovasc prosth taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33883","description":"Insert endovasc prosth taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88154","description":"Cytopath c/v select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx cast molded to pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2108","description":"Afo tib fx cast molded to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28039","description":"Exc foot/toe tum sc 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53200","description":"Biopsy of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK6","description":"HIPPS-2BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKV","description":"HIPPS-4BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14A","description":"HIPPS-HD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32151","description":"Remove lung foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Program intake assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1023","description":"Program intake assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient gauntlet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8428","description":"Ready gradient gauntlet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77062","description":"Breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21556","description":"Exc neck tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63600","description":"Remove spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMU","description":"HIPPS-1CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58700","description":"Removal of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0567U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0567U","description":"CPT-0567U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice routine home care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2042","description":"Hospice routine home care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma discharge plan presnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5250F","description":"Asthma discharge plan presnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of end stage renal disease (esrd)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1187","description":"Patients with a diagnosis of end stage renal disease (esrd)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70487","description":"Ct maxillofacial w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21A","description":"HIPPS-CD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1488","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1488","description":"HCPCS-M1488","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rimantadine hcl 100mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9020","description":"Rimantadine hcl 100mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA43","description":"HIPPS-RVA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palifermin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2425","description":"Palifermin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38525","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mertiatide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9562","description":"Tc99m mertiatide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duration of monitored anesthesia care(mac)or peripheral nerve block(pnb)without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9363","description":"Duration of monitored anesthesia care(mac)or peripheral nerve block(pnb)without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX20","description":"HIPPS-RLX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKV","description":"HIPPS-1BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revas w/tla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37224","description":"Fem/popl revas w/tla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB210","description":"HIPPS-LB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4544","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4544","description":"HCPCS-A4544","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1204","description":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knees","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73565","description":"X-ray exam of knees","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Direct immunofluorescence","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0482","description":"Direct immunofluorescence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert heyman uteri capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58346","description":"Insert heyman uteri capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2A","description":"HIPPS-RVA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9294","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9294","description":"HCPCS-A9294","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0658T","description":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA01","description":"HIPPS-RHA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90712","description":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery pneum vad replacemnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0503","description":"Battery pneum vad replacemnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26460","description":"Incise hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27893","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA236","description":"HIPPS-BA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40801","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA224","description":"HIPPS-PA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2091","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology colon mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81525","description":"Oncology colon mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28008","description":"Incision of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9615","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"HCPCS-A9615","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd inj >24h/gcs >15/no res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9596","description":"Hd inj >24h/gcs >15/no res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symes type ptb brim design s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5632","description":"Symes type ptb brim design s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit midline cath insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5521","description":"Hit midline cath insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove epididymis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54830","description":"Remove epididymis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay serum cholinesterase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82480","description":"Assay serum cholinesterase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"HCPCS-J9232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB256","description":"HIPPS-CB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398U","description":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61156","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMX","description":"HIPPS-1BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 3 genotyping (HPA-3)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex]_ antigen CD41 [GPIIb]) (eg_ neonatal alloimmune thrombo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81107","description":"Human Platelet Antigen 3 genotyping (HPA-3)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex]_ antigen CD41 [GPIIb]) (eg_ neonatal alloimmune thrombo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Symp aaa urgent repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9600","description":"Symp aaa urgent repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lungcx bx rpt docs class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9418","description":"Lungcx bx rpt docs class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Streptomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3000","description":"Streptomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0884","description":"Pwc gp4 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maintenance 5% WL from baseline weight in months 7-12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9888","description":"Maintenance 5% WL from baseline weight in months 7-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4043","description":"Cast sup lng leg splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC20","description":"HIPPS-RVC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67121","description":"Remove eye implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0201","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0201","description":"CDT-D0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of airways","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31720","description":"Clearance of airways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle w/suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67334","description":"Revise eye muscle w/suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21155","description":"Lefort iii w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam spinal canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76800","description":"Us exam spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2218","description":"Lens aniseikonic bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6100","description":"Removal of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES315","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES315","description":"HIPPS-ES315","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9855","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL07","description":"HIPPS-RUL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics transosteal implnt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6050","description":"Odontics transosteal implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60522","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-82234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82234","description":"CPT-82234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle-level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9014","description":"Esrd demo bundle-level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0845T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Internal Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4011","description":"Internal Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0944T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0944T","description":"CPT-0944T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g benzathine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0561","description":"Penicillin g benzathine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23532","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear quad-lat brim c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2520","description":"Th/wght bear quad-lat brim c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1487","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1487","description":"HCPCS-M1487","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95715","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKW","description":"HIPPS-2AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20B","description":"HIPPS-PC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC112","description":"HIPPS-CC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical stent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5982","description":"Surgical stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy & polypectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45333","description":"Sigmoidoscopy & polypectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intracav admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79200","description":"Nuclear rx intracav admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55840","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onco (ovar) five proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81503","description":"Onco (ovar) five proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Oncology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4031","description":"Radiation Oncology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84075","description":"Assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile/panc endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74330","description":"X-ray bile/panc endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68325","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97022","description":"Whirlpool therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of methemalbumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83857","description":"Assay of methemalbumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (baxter)_ not therapeutically equivalent to j0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0689","description":"Injection_ cefazolin sodium (baxter)_ not therapeutically equivalent to j0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341U","description":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biovance 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4154","description":"Biovance 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compressor nondispos filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7014","description":"Compressor nondispos filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4348","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4348","description":"HCPCS-Q4348","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qty act diab retin mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9672","description":"Qty act diab retin mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta-blocker therapy rxd/tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4008F","description":"Beta-blocker therapy rxd/tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0537T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin seal protect moisturizr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6250","description":"Skin seal protect moisturizr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21125","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0812","description":"Power operated vehicle noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26542","description":"Repair hand joint with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11626","description":"Exc s/n/h/f/g mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74450","description":"X-ray urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2115","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditor evoke potent compre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92585","description":"Auditor evoke potent compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28150","description":"Removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr CT/MRI imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055T","description":"Bone srgry cmptr CT/MRI imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12B","description":"HIPPS-CB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237U","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 xtra hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0829","description":"Pwc gp 2 xtra hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial hosp prog service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0129","description":"Partial hosp prog service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54865","description":"Explore epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92310","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emapalumab-lzsg_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9050","description":"Injection_ emapalumab-lzsg_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy of joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29999","description":"Arthroscopy of joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLT","description":"HIPPS-3AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculate eggs/animal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87250","description":"Virus inoculate eggs/animal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22220","description":"Incis w/discectomy cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA22","description":"HIPPS-RLA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam two surfaces permane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2150","description":"Amalgam two surfaces permane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sho lift taper to metatarsal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3300","description":"Sho lift taper to metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14C","description":"HIPPS-PE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment panty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6511","description":"Compres burn garment panty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper sm/med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4529","description":"Ped size brief/diaper sm/med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64835","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC251","description":"HIPPS-PC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc (colorectal)_ quant assess of three urine metabolites by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002U","description":"Onc (colorectal)_ quant assess of three urine metabolites by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0105U","description":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83721","description":"Assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81109","description":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medrsn no pt category","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9292","description":"Medrsn no pt category","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16<=48 sq in watr/sal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6229","description":"Gauze >16<=48 sq in watr/sal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diaphragm surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39599","description":"Diaphragm surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cilastatin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0743","description":"Cilastatin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD131","description":"HIPPS-PD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK6","description":"HIPPS-1CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0027","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK3","description":"HIPPS-5AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69554","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13133","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM6","description":"HIPPS-1AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test myo musclr dyst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3853","description":"Gene test myo musclr dyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5157","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5157","description":"HCPCS-Q5157","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5C","description":"HIPPS-RMB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv artific diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22856","description":"Cerv artific diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine 2vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72070","description":"X-ray exam thorac spine 2vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC34","description":"HIPPS-RMC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt surv improv bsline tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9603","description":"Pt surv improv bsline tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprt fees/laryngeal test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92617","description":"Interprt fees/laryngeal test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20604","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKU","description":"HIPPS-2AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61684","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bamlanivimab_ 700 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0239","description":"Bamlanivimab_ 700 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch substitute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0118","description":"Crutch substitute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM1","description":"HIPPS-3CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9282","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9282","description":"HCPCS-J9282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3mod sacro-scap pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0462","description":"Tlso 3mod sacro-scap pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10C","description":"HIPPS-HC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infus pump portab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9004","description":"Parenteral infus pump portab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15736","description":"Muscle-skin graft arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0748T","description":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11A","description":"HIPPS-LB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splint fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4018","description":"Cast sup lng arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7657","description":"Isoproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C-1 Esterase Inhibitor (Recombinant) Ruconest_ 10 Units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9445","description":"Injection_ C-1 Esterase Inhibitor (Recombinant) Ruconest_ 10 Units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care 4 pain docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521F","description":"Plan of care 4 pain docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1 or more neuropsych","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8947","description":"1 or more neuropsych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1418","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1418","description":"HCPCS-M1418","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m medronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9503","description":"Tc99m medronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35515","description":"Art byp grft subclav-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove ankle joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27626","description":"Remove ankle joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Qualified Healthcare Professional Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 21 Or More Mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2063","description":"Qualified Nonphysician Qualified Healthcare Professional Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 21 Or More Mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec site no cutaneous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9430","description":"Spec site no cutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocate pocket for defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33223","description":"Relocate pocket for defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom fabricate w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2609","description":"Custom fabricate w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bis xtracell fluid analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93702","description":"Bis xtracell fluid analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4388","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4388","description":"HCPCS-Q4388","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25335","description":"Realignment of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay synovial fluid mucin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83872","description":"Assay synovial fluid mucin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Angina present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1011F","description":"Angina present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27345","description":"Removal of knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 12 COM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216U","description":"NEURO INH ATAXIA DNA 12 COM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/1-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34804","description":"Endovas aaa repr w/1-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card output measure subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93562","description":"Card output measure subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9972","description":"Epoetin beta_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2+ anti-hyprtnsv agents tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4145F","description":"2+ anti-hyprtnsv agents tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0447","description":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1027","description":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6076","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45900","description":"Reduction of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18E","description":"HIPPS-BA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNX","description":"HIPPS-3BFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ coronary venous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1900","description":"Lead_ coronary venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01652","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01652","description":"CPT-01652","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj prohance multipack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9576","description":"Inj prohance multipack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carotid intima atheroma eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93895","description":"Carotid intima atheroma eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35633","description":"Art byp ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohols biomarkers 1or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80321","description":"Alcohols biomarkers 1or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9186","description":"Motor speech goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mass spectrometry and tandem mass spectrometry (ms_ ms/ms)_ analyte notelsewhere specified; qualitative_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83788","description":"Mass spectrometry and tandem mass spectrometry (ms_ ms/ms)_ analyte notelsewhere specified; qualitative_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1006","description":"HCPCS-L1006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPW","description":"HIPPS-1CGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Facility-based respite_ 24-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0531","description":"Facility-based respite_ 24-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLV","description":"HIPPS-2CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Snrpn/ube3a gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81331","description":"Snrpn/ube3a gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP3","description":"HIPPS-3AGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation and curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58120","description":"Dilation and curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-waterproof tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4450","description":"Non-waterproof tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44640","description":"Repair bowel-skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of support implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20670","description":"Removal of support implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28190","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE254","description":"HIPPS-HE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss add to std pad scrotal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8330","description":"Truss add to std pad scrotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47133","description":"Removal of donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo pwr shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1008","description":"Pwr seat combo pwr shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95708","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76882","description":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foscarnet sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1455","description":"Foscarnet sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5101","description":"HCPCS-A5101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC141","description":"HIPPS-CC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep addl 100 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15003","description":"Wound prep addl 100 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release eye tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67343","description":"Release eye tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: Multimodal Pain Management Was Used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2148","description":"Performance Met: Multimodal Pain Management Was Used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in for con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6696","description":"Cus elbo skt in for con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Division of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58605","description":"Division of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise mandible lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21040","description":"Excise mandible lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/insert implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65103","description":"Remove eye/insert implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0B","description":"HIPPS-RMC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11601","description":"Exc tr-ext mal+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0883T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES140","description":"HIPPS-ES140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of adp & amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82030","description":"Assay of adp & amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenobarbital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80184","description":"Assay of phenobarbital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69745","description":"Repair facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of bone cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20615","description":"Treatment of bone cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivacaine (posimir)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9144","description":"Injection_ bupivacaine (posimir)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0302","description":"HCPCS-C0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2220","description":"Lens bifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray for pancreas endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74329","description":"X-ray for pancreas endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cur meds not document","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8428","description":"Cur meds not document","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD226","description":"HIPPS-LD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE113","description":"HIPPS-LE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endo cholangiopancreatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43262","description":"Endo cholangiopancreatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph fundoplasty lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43327","description":"Esoph fundoplasty lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services outside us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9989","description":"Services outside us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLT","description":"HIPPS-2CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLS","description":"HIPPS-1AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline_ 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4216","description":"Sterile water/saline_ 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC151","description":"HIPPS-HC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Novachor_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4194","description":"Novachor_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp lt3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1065F","description":"Ischm stroke symp lt3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo by other than infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0083","description":"Chemo by other than infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35256","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric derisomaltose_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1437","description":"Injection_ ferric derisomaltose_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assess hlth/behave init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96150","description":"Assess hlth/behave init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPV","description":"HIPPS-3AHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31297","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39540","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61314","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL16","description":"HIPPS-RVL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Latex suspension sleeve each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6632","description":"Latex suspension sleeve each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11C","description":"HIPPS-HC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-27713","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27713","description":"CPT-27713","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA114","description":"HIPPS-PA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home phototherapy visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9098","description":"Home phototherapy visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX54","description":"HIPPS-RMX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal angioplasty with intravascular ultrasound (initial noncoro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7531","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal angioplasty with intravascular ultrasound (initial noncoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5947","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5947","description":"CDT-D5947","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech hip extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5855","description":"Mech hip extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35331","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8F","description":"HIPPS-RUL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27894","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4423","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4423","description":"HCPCS-Q4423","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clozapine_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0136","description":"Clozapine_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uppr gi scope w/submuc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43236","description":"Uppr gi scope w/submuc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impr med time edarr pain med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9426","description":"Impr med time edarr pain med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain screened as moderate to severe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1000","description":"Pain screened as moderate to severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9001","description":"Assessment by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10C","description":"HIPPS-PA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25635","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2188","description":"Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61605","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6008","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB55","description":"HIPPS-RVB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99219","description":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Granulocytes_ pheresis unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9050","description":"Granulocytes_ pheresis unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA04","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA04","description":"HIPPS-AAA04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intraspinl lesion crv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63265","description":"Excise intraspinl lesion crv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil one surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2410","description":"Dental gold foil one surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colorec ca scr_ sto bas dna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0464","description":"Colorec ca scr_ sto bas dna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75736","description":"Artery x-rays pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88152","description":"Cytopath c/v auto redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59857","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped dynamic seating frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2295","description":"Ped dynamic seating frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group health education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99078","description":"Group health education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dorsiflexion assist each joi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2210","description":"Dorsiflexion assist each joi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9752","description":"Emergency surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27827","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Barium swallow test not req","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3200F","description":"Barium swallow test not req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had only urgent care visits during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1054","description":"Patient had only urgent care visits during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin pro/pos wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2608","description":"Skin pro/pos wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Man w/c push-rim powr system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0986","description":"Man w/c push-rim powr system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Next Gen aco model>20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9870","description":"Next Gen aco model>20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0496","description":"Battery elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28I","description":"HIPPS-PC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM4","description":"HIPPS-4BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD145","description":"HIPPS-PD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Midfacial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8041","description":"Midfacial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm isolation simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89260","description":"Sperm isolation simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supply kit homemi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4222","description":"Parenteral supply kit homemi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86710","description":"Influenza virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKX","description":"HIPPS-5BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice long term care_ r&b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2046","description":"Hospice long term care_ r&b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef greater than 35%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3056F","description":"Lvef greater than 35%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0701","description":"HCPCS-B0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years Of Age And Older With Evidence Of Frailty During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2125","description":"Patients 81 Years Of Age And Older With Evidence Of Frailty During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL5","description":"HIPPS-3BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3403","description":"HCPCS-J3403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC32","description":"HIPPS-RMC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mech remov tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36596","description":"Mech remov tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0D","description":"HIPPS-RMC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) PEGylated_ 1 I.U.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9137","description":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) PEGylated_ 1 I.U.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii type verify lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81371","description":"Hla i & ii type verify lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of foot at ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27889","description":"Amputation of foot at ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB136","description":"HIPPS-BB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6538","description":"Gc stocking full lngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telescopic intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1840","description":"Telescopic intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Who w/nontorsion jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3905","description":"Who w/nontorsion jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert major vessel graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33330","description":"Insert major vessel graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ionm remote/>1 pt or per hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95941","description":"Ionm remote/>1 pt or per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0026","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles single system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92354","description":"Fit spectacles single system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61305","description":"Open skull for exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician_ including a written report to the patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99451","description":"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician_ including a written report to the patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL5","description":"HIPPS-4CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX54","description":"HIPPS-RUX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brca1&2 seq & full dup/del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81162","description":"Brca1&2 seq & full dup/del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20A","description":"HIPPS-LE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1121","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Init day hosp neonate care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99477","description":"Init day hosp neonate care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98008","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98008","description":"CPT-98008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB43","description":"HIPPS-RUB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyurea 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0176","description":"Hydroxyurea 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"alloPLY_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4323","description":"alloPLY_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90483","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90483","description":"CPT-90483","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback peri/uro/rectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90911","description":"Biofeedback peri/uro/rectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Capecitabine_ oral_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8521","description":"Capecitabine_ oral_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0636T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28470","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33902","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1455","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1455","description":"HCPCS-M1455","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace denture teeth complt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5520","description":"Replace denture teeth complt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB15","description":"HIPPS-RVB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of cervical canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57800","description":"Dilation of cervical canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX21","description":"HIPPS-RLX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 quant&revrse trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87536","description":"Hiv-1 quant&revrse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35111","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0579T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aflibercept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0178","description":"Aflibercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA16","description":"HIPPS-RHA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sternum fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21820","description":"Treat sternum fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427U","description":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28250","description":"Revision of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis one evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90945","description":"Dialysis one evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal mets recur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9098","description":"Onc dx esophageal mets recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Structured Day Habilitation Group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0104","description":"Structured Day Habilitation Group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18I","description":"HIPPS-ES18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388T","description":"Transcatheter removal of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33824","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK6","description":"HIPPS-1BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch ex wear convex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4390","description":"Drainable pch ex wear convex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim nail(s) any number","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11719","description":"Trim nail(s) any number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458U","description":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78607","description":"Brain imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo unilat torsion ball br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2090","description":"Hkafo unilat torsion ball br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for spine disk x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62290","description":"Inject for spine disk x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNS","description":"HIPPS-3BHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lanreotide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1930","description":"Lanreotide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43848","description":"Revision gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53010","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL1","description":"HIPPS-4CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36482","description":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services received by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9692","description":"Hospice services received by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKX","description":"HIPPS-1AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1A","description":"HIPPS-RLX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13C","description":"HIPPS-CB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gammagard liquid injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1569","description":"Gammagard liquid injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Airway inhalation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94640","description":"Airway inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Homecare train pt 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5108","description":"Homecare train pt 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism EvidenceCare imaging advisor_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1013","description":"Clinical decision support mechanism EvidenceCare imaging advisor_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine_ oral_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0104","description":"Zidovudine_ oral_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM2","description":"HIPPS-2CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice/home hlth in asst lv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5002","description":"Hospice/home hlth in asst lv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis repeated eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90947","description":"Dialysis repeated eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Md recertification hha pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0179","description":"Md recertification hha pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65222","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1471","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1471","description":"HCPCS-M1471","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening for sleep related breathing disorders","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9957","description":"Screening for sleep related breathing disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB32","description":"HIPPS-RVB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures mand part resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5212","description":"Dentures mand part resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ moderate complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0520","description":"Management of new patient-caregiver dyad with dementia_ moderate complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1B","description":"HIPPS-RMB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecg record/review","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93268","description":"Ecg record/review","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20C","description":"HIPPS-PE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKX","description":"HIPPS-1BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versitiā¢ Inherited Thrombocytopenia Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0276U","description":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versitiā¢ Inherited Thrombocytopenia Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8992","description":"Other pt/ot d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19380","description":"Revise breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthr0 w/synovectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29863","description":"Hip arthr0 w/synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/ove","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2206","description":"Lens sphcy bifocal 4.00d/ove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx spine process fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22305","description":"Closed tx spine process fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skull base/brainstem surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61575","description":"Skull base/brainstem surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB215","description":"HIPPS-PB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB115","description":"HIPPS-CB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/vp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51728","description":"Cystometrogram w/vp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22B","description":"HIPPS-LB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL52","description":"HIPPS-RUL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytarabine liposome inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9098","description":"Cytarabine liposome inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD213","description":"HIPPS-LD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0548T","description":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of drain pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48001","description":"Placement of drain pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sperm isolation complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89261","description":"Sperm isolation complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD240","description":"HIPPS-LD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML05","description":"HIPPS-RML05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2A","description":"HIPPS-RHC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL4","description":"HIPPS-2CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Musc tst done w/nerv tst lim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95885","description":"Musc tst done w/nerv tst lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMV","description":"HIPPS-3AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic/pleoptic training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92065","description":"Orthoptic/pleoptic training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK3","description":"HIPPS-2AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27006","description":"Incision of hip tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Birthing class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9442","description":"Birthing class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0550","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0550","description":"HCPCS-G0550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNT","description":"HIPPS-1CGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad standard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0210","description":"Electric heat pad standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97007","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97007","description":"CPT-97007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4361","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4361","description":"HCPCS-Q4361","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB111","description":"HIPPS-HB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Handgrip for cane etc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4636","description":"Handgrip for cane etc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47000","description":"Needle biopsy of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0677","description":"Non-pneumatic sequential compression garment_ trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ketamine and norketamine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80357","description":"Ketamine and norketamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20D","description":"HIPPS-CC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echosclerotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2202","description":"Echosclerotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE156","description":"HIPPS-HE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intervene hlth/behave indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96152","description":"Intervene hlth/behave indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97551","description":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27441","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9190","description":"Medical reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/o lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21154","description":"Lefort iii w/o lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43122","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6454","description":"Self-adher band w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99153","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply upper l","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8485","description":"Pros sock single ply upper l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med service out of office","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99056","description":"Med service out of office","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7613","description":"Albuterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standard size footplate each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0042","description":"Standard size footplate each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35884","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 2 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3386F","description":"Ajcc cln cncr stage 2 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9376","description":"Hit hydra 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition l ventric lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33226","description":"Reposition l ventric lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3473","description":"Surgical repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4015","description":"Cast sup gauntlet ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trcath replace aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33366","description":"Trcath replace aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ana crown exp 4 or> per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4230","description":"Ana crown exp 4 or> per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warming card for nwt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0232","description":"Warming card for nwt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal extent unknwn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9095","description":"Onc dx rectal extent unknwn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High risk recurrence pro ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8465","description":"High risk recurrence pro ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25B","description":"HIPPS-LC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1060T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1060T","description":"CPT-1060T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX42","description":"HIPPS-RHX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N-et; commerc carrier pass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2004","description":"N-et; commerc carrier pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low (or very low) risk of recurrence_ prostate cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9706","description":"Low (or very low) risk of recurrence_ prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35535","description":"Art byp grft hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MYD88 (myeloid differentiation primary response 88) (eg_ Waldenstrom_s macroglobulinemia_ lymphoplasmacytic leukemia) gene analysis_ p.Leu265Pro (L265P) variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81305","description":"MYD88 (myeloid differentiation primary response 88) (eg_ Waldenstrom_s macroglobulinemia_ lymphoplasmacytic leukemia) gene analysis_ p.Leu265Pro (L265P) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK6","description":"HIPPS-3AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No admit w/in 180d req remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9411","description":"No admit w/in 180d req remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24560","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61150","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fungus nes antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86671","description":"Fungus nes antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrvas foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37197","description":"Remove intrvas foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot non-stndard size/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3254","description":"Orth foot non-stndard size/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK2","description":"HIPPS-1AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML55","description":"HIPPS-RML55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0235","description":"HCPCS-M0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opps/php;activity therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0176","description":"Opps/php;activity therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special childcare waiver/d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2026","description":"Special childcare waiver/d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ dom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0077","description":"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ dom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embryo hatching","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89253","description":"Embryo hatching","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA134","description":"HIPPS-PA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKW","description":"HIPPS-1BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2391","description":"Solid caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27096","description":"Inject sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0463","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0463","description":"HCPCS-J0463","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKT","description":"HIPPS-3CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28I","description":"HIPPS-BA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16370","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16370","description":"CPT-16370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31578","description":"Removal of larynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy oocyte polar body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89291","description":"Biopsy oocyte polar body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9220","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9220","description":"HCPCS-J9220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext wear ost skn barr <=4sqin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4407","description":"Ext wear ost skn barr <=4sqin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pleurodesis w/agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32560","description":"Treat pleurodesis w/agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth genitalia surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92051","description":"Anesth genitalia surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1B","description":"HIPPS-RHC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i/ii antibody qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86829","description":"Hla class i/ii antibody qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22A","description":"HIPPS-ES22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092U","description":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNS","description":"HIPPS-3CFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp <80 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3078F","description":"Diast bp <80 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1115","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5B","description":"HIPPS-RHX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig footwear evaluatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8416","description":"Pt inelig footwear evaluatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKW","description":"HIPPS-2BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMW","description":"HIPPS-4CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK4","description":"HIPPS-4CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31528","description":"Laryngoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63076","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2194","description":"Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mogamulizumab-kpkc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9038","description":"Injection_ mogamulizumab-kpkc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6740","description":"Crown porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0611U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0611U","description":"CPT-0611U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB144","description":"HIPPS-LB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4D","description":"HIPPS-RHC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft great toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20973","description":"Bone/skin graft great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2221","description":"Solid caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0B","description":"HIPPS-RMA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual semi-reclining back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1225","description":"Manual semi-reclining back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum albumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82040","description":"Assay of serum albumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration for testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54550","description":"Exploration for testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt drug device for iop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356T","description":"Insrt drug device for iop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Under Hospice Care In The Current Reporting Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0051","description":"Patients Under Hospice Care In The Current Reporting Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD134","description":"HIPPS-HD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3A","description":"HIPPS-RVB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK1","description":"HIPPS-3CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of finger abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26010","description":"Drainage of finger abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36620","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86738","description":"Mycoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0729T","description":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMX","description":"HIPPS-4AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8X","description":"HIPPS-RUX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect radius/ulnar tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25170","description":"Resect radius/ulnar tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB101","description":"HIPPS-CB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3A","description":"HIPPS-RMA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA151","description":"HIPPS-CA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB212","description":"HIPPS-CB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50340","description":"Removal of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciliary transsleral therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66710","description":"Ciliary transsleral therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/singl lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33240","description":"Insrt pulse gen w/singl lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray frnt lat oblique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71022","description":"Chest x-ray frnt lat oblique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heredtry nurondcrn tum dsrdr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81438","description":"Heredtry nurondcrn tum dsrdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84580","description":"Assay of urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iloprost non-comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4074","description":"Iloprost non-comp unit dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Y90 ibritumomab_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9543","description":"Y90 ibritumomab_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB02","description":"HIPPS-RUB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system <=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4306","description":"Drug delivery system <=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70210","description":"X-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch for bar w lk fl/fltr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4423","description":"Ost pch for bar w lk fl/fltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX45","description":"HIPPS-RLX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21C","description":"HIPPS-LB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd scrn hcv infec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9383","description":"Recd scrn hcv infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK6","description":"HIPPS-4AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0959T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0959T","description":"CPT-0959T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE236","description":"HIPPS-LE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ entire_ survey study_ anteroposterior an lateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72010","description":"Radiologic examination_ spine_ entire_ survey study_ anteroposterior an lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/drain eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67440","description":"Explore/drain eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63103","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14C","description":"HIPPS-HE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure treatment esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43460","description":"Pressure treatment esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64832","description":"Repair nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11102","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone 20-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83499","description":"Assay of progesterone 20-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Front castr compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0071","description":"Front castr compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Corneal smear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65430","description":"Corneal smear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0364","description":"Cone beam ct capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6003","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentistry Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0067","description":"Dentistry Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33746","description":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in hospice facility","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5006","description":"Hospice in hospice facility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 29-31 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2266","description":"Induced abortion 29-31 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26235","description":"Partial removal finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82671","description":"Assay of estrogens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0821T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE154","description":"HIPPS-PE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24410","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL56","description":"HIPPS-RHL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML26","description":"HIPPS-RML26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50957","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleep apnea assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8839","description":"Sleep apnea assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2053","description":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB117","description":"HIPPS-PB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52332","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0542","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0542","description":"HCPCS-G0542","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81167","description":"BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164T","description":"Remove lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/wash","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31622","description":"Dx bronchoscope/wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1B","description":"HIPPS-RHX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero w/lithotripsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52356","description":"Cysto/uretero w/lithotripsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/debride pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48105","description":"Resect/debride pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44155","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33766","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lancet device each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4258","description":"Lancet device each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with destruction by cryoablation_ posterior nasal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31243","description":"Nasal/sinus endoscopy_ surgical; with destruction by cryoablation_ posterior nasal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4355","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4355","description":"HCPCS-Q4355","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28005","description":"Treat foot bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL1","description":"HIPPS-3AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65130","description":"Insert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision and/or reinsertion of transhepatic tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47530","description":"Revision and/or reinsertion of transhepatic tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKV","description":"HIPPS-2AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 2 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95861","description":"Muscle test 2 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ dual mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2367","description":"Battery charger_ dual mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITC/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5215","description":"Hearing aid_ contralateral routing system_ binaural_ ITC/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB256","description":"HIPPS-HB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d p-spine c/t/cerv-thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22010","description":"I&d p-spine c/t/cerv-thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Not >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9352","description":"Not >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud osseo dev_ abutment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8693","description":"Aud osseo dev_ abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cur funct asses; no care pln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8543","description":"Cur funct asses; no care pln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy test drug/bug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95024","description":"Icut allergy test drug/bug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML31","description":"HIPPS-RML31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23A","description":"HIPPS-HC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74247","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLW","description":"HIPPS-3AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70551","description":"MRI brain stem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tprnl Plmt Biodegradable Matrl Periprostatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438T","description":"Tprnl Plmt Biodegradable Matrl Periprostatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer skin pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15650","description":"Transfer skin pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0567","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0567","description":"HCPCS-G0567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71275","description":"Ct angiography chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gonadorelin hydroch/ 100 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1620","description":"Gonadorelin hydroch/ 100 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denosumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0897","description":"Denosumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period; Or Did Not Have A Prior In","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2165","description":"Patient Did Not Receive An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period; Or Did Not Have A Prior In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0660","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0660","description":"HCPCS-G0660","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMW","description":"HIPPS-2AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64837","description":"Repair nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Str markers spec anal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81266","description":"Str markers spec anal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace/irrigate catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62225","description":"Replace/irrigate catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unite biomatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4129","description":"Unite biomatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dil macular/fundus not perfo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8398","description":"Dil macular/fundus not perfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c <100 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3048F","description":"Ldl-c <100 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Triflupromazine hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3400","description":"Triflupromazine hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4372","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4372","description":"HCPCS-Q4372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirom fev/fvc <70% w/copd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3025F","description":"Spirom fev/fvc <70% w/copd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35002","description":"Repair artery rupture neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL3","description":"HIPPS-2AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8B","description":"HIPPS-RVX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reusable underpad chair size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4540","description":"Reusable underpad chair size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8002","description":"HCPCS-C8002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES334","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES334","description":"HIPPS-ES334","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNW","description":"HIPPS-3BGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4C","description":"HIPPS-RMB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hand vol close","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6709","description":"Term dev mech hand vol close","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML52","description":"HIPPS-RML52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31766","description":"Reconstruction of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad exc lesion up to 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7410","description":"Rad exc lesion up to 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK4","description":"HIPPS-4BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36589","description":"Removal tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap proctopexy w/sig resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45402","description":"Lap proctopexy w/sig resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disart myoelectronic c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6945","description":"Elbow disart myoelectronic c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-mullerian hormone (AMH)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1401","description":"HCPCS-A1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0574T","description":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin or another antiplatelet therapy used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1055","description":"Aspirin or another antiplatelet therapy used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM5","description":"HIPPS-3CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debride genit/per/abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11006","description":"Debride genit/per/abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24430","description":"Repair of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL13","description":"HIPPS-RUL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1626","description":"Granisetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18I","description":"HIPPS-BB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepagam b intravenous_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1573","description":"Hepagam b intravenous_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86849","description":"Immunology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25630","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKX","description":"HIPPS-4BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat sternum fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21825","description":"Treat sternum fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History of mole changes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1050F","description":"History of mole changes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem urinary collect dev cup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4327","description":"Fem urinary collect dev cup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lpn home care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1031","description":"Lpn home care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath mtral vlve repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345T","description":"Transcath mtral vlve repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8005","description":"HCPCS-C8005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: The Residual Change Score Is Equal To Or Greater Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2152","description":"Performance Met: The Residual Change Score Is Equal To Or Greater Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28570","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1023","description":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC22","description":"HIPPS-RUC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd remove lesion snare","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43251","description":"Egd remove lesion snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66625","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM4","description":"HIPPS-2BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin sig dep sym by dep tool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3354F","description":"Clin sig dep sym by dep tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo plastic molded w/ankle j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1970","description":"Afo plastic molded w/ankle j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76529","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4362","description":"Solid skin barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC215","description":"HIPPS-HC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 3 MCG TRS-SUCR","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91308","description":"SARSCOV2 VAC 3 MCG TRS-SUCR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1088T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1088T","description":"CPT-1088T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Romiplostim injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2796","description":"Romiplostim injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63001","description":"Remove spine lamina 1/2 crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath concentrate tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88108","description":"Cytopath concentrate tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gngvl flap w rootplan 1-3 th","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4241","description":"Gngvl flap w rootplan 1-3 th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phakic iol refractive error","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0596","description":"Phakic iol refractive error","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0656T","description":"Vertebral body tethering_ anterior; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urea injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3350","description":"Urea injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA21","description":"HIPPS-RMA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprssion thxpy prescribed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4267F","description":"Comprssion thxpy prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0D","description":"HIPPS-RMX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Control unit bowel system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0350","description":"Control unit bowel system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6280","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6280","description":"CDT-D6280","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shoes depth inlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3230","description":"Custom shoes depth inlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43180","description":"Esophagoscopy rigid trnso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tub rail attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc of non tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9275","description":"Doc of non tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA240","description":"HIPPS-BA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5153","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5153","description":"HCPCS-Q5153","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412U","description":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1062","description":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Injection/Nerve Block Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0620","description":"Hospital Special Treatment Room Support Component (Hstrsc) Injection/Nerve Block Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28080","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18G","description":"HIPPS-LC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening of a patient","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0190","description":"Screening of a patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58322","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Improve visual funct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0913","description":"Improve visual funct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPV","description":"HIPPS-1AGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33647","description":"Repair heart septum defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quality care in mental health and substance use disorders mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1369","description":"Quality care in mental health and substance use disorders mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gas system stationary compre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0425","description":"Gas system stationary compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4039","description":"Cast sup shrt leg ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20A","description":"HIPPS-CD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbit surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67599","description":"Orbit surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31267","description":"Endoscopy maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22A","description":"HIPPS-HD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA40","description":"HIPPS-RVA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx chron care w/o pt vsit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99487","description":"Cmplx chron care w/o pt vsit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone; bioavailable_ direct measurement (eg_ differential precipitation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84410","description":"Testosterone; bioavailable_ direct measurement (eg_ differential precipitation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPT","description":"HIPPS-1AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC02","description":"HIPPS-RHC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Str markers specimen anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81265","description":"Str markers specimen anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest auto stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38206","description":"Harvest auto stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hbv assess&results intrp 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3517F","description":"Hbv assess&results intrp 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9626","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK2","description":"HIPPS-1CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Srs spinal lesion addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63621","description":"Srs spinal lesion addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64605","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no dchg home postop day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9602","description":"Pt no dchg home postop day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9800","description":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB07","description":"HIPPS-RLB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX07","description":"HIPPS-RMX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser surg penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54057","description":"Laser surg penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28011","description":"Incision of toe tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive ear/neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69155","description":"Extensive ear/neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med list docd in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1159F","description":"Med list docd in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL2","description":"HIPPS-4CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL1","description":"HIPPS-3BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria toxoid_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90719","description":"Diphtheria toxoid_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9990","description":"Services provided as part of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0675U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0675U","description":"CPT-0675U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Staggered spondaic word test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92572","description":"Staggered spondaic word test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plastic mold recipro hip & c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2627","description":"Plastic mold recipro hip & c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal/urinary muscle study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51784","description":"Anal/urinary muscle study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv combination assay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0475","description":"Hiv combination assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB231","description":"HIPPS-HB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quant results activity &symp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3115F","description":"Quant results activity &symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK5","description":"HIPPS-4CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES350","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES350","description":"HIPPS-ES350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28400","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous blood process","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86890","description":"Autologous blood process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Systemic corticosteroids rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4135F","description":"Systemic corticosteroids rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mebrofenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9537","description":"Tc99m mebrofenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array_ Including Connection To Existing Pulse Generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64583","description":"Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array_ Including Connection To Existing Pulse Generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1139","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vancomycin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80202","description":"Assay of vancomycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLU","description":"HIPPS-4BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC104","description":"HIPPS-PC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry threshold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210T","description":"Speech audiometry threshold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMW","description":"HIPPS-1AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vasc graft into carpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25430","description":"Vasc graft into carpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88012","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM1","description":"HIPPS-2CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anal sp inf pmp w/reprg&fill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62369","description":"Anal sp inf pmp w/reprg&fill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem exostosis any site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7471","description":"Rem exostosis any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46615","description":"Anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0009","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethral lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57230","description":"Repair of urethral lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8A","description":"HIPPS-RVB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta phys/qhp ea 30d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0606T","description":"Rem oct rta phys/qhp ea 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0477U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0477U","description":"CPT-0477U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80351","description":"Cannabinoids synthetic 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC240","description":"HIPPS-LC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357U","description":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injectable poly-l-lactic acid_ restorative implant_ 1 ml_ face (deep dermis_ subcutaneous layers)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0196","description":"Injectable poly-l-lactic acid_ restorative implant_ 1 ml_ face (deep dermis_ subcutaneous layers)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0718T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451U","description":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23A","description":"HIPPS-LD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0403","description":"HCPCS-A0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES312","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES312","description":"HIPPS-ES312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Asparaginase_ Recombinant_ (Rylaze)_ 0.1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9021","description":"Injection_ Asparaginase_ Recombinant_ (Rylaze)_ 0.1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alveoplasty w/ extraction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7310","description":"Alveoplasty w/ extraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dev interrog remote 1/2/mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93295","description":"Dev interrog remote 1/2/mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC254","description":"HIPPS-CC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82946","description":"Glucagon tolerance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vitolarsen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1427","description":"Injection_ vitolarsen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23150","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5274","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv >30 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0397","description":"Alcohol/subs interv >30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo airplane w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3978","description":"Sewhfo airplane w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pne scrn done doc vac done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9279","description":"Pne scrn done doc vac done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL4","description":"HIPPS-4CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2A","description":"HIPPS-RML2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0770T","description":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hook/hand_ hvy dty_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6722","description":"Hook/hand_ hvy dty_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glucosidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82963","description":"Assay of glucosidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE246","description":"HIPPS-HE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90382","description":"CPT-90382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal mass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50542","description":"Laparo ablate renal mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9192","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9192","description":"HCPCS-J9192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25D","description":"HIPPS-PA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12042","description":"Intmd rpr n-hf/genit2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scratch resistant coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2760","description":"Scratch resistant coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23525","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: occipital headache in children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2195","description":"Patients with clinical indications for imaging of the head: occipital headache in children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28496","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stomach surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43999","description":"Stomach surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK5","description":"HIPPS-4CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx multi myeloma unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9130","description":"Onc dx multi myeloma unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB45","description":"HIPPS-RVB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 4 dose immunsup im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90747","description":"Hepb vacc 4 dose immunsup im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00326","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00326","description":"CPT-00326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2B","description":"HIPPS-RHL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63277","description":"Bx/exc xdrl spine lesn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bekesy audiometry screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92560","description":"Bekesy audiometry screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier solid 4x4 equiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4372","description":"Skin barrier solid 4x4 equiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lift elev heel/sole cor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3320","description":"Shoe lift elev heel/sole cor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11424","description":"Exc h-f-nk-sp b9+marg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0655","description":"Pneumatic appliance half arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA22","description":"HIPPS-RHA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved sperm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89353","description":"Thawing cryopresrved sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain outer ear canal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69020","description":"Drain outer ear canal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not possible because the patient self-discharged early (e.g._ financial or insurance reasons_ transportation problems_ or reason unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1148","description":"Ongoing care not possible because the patient self-discharged early (e.g._ financial or insurance reasons_ transportation problems_ or reason unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKW","description":"HIPPS-4CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0802","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0802","description":"CDT-D0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0235","description":"Pet not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML14","description":"HIPPS-RML14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65600","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01772","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01772","description":"CPT-01772","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze spine infus pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62367","description":"Analyze spine infus pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB201","description":"HIPPS-LB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0102","description":"HCPCS-B0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid exam one ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92590","description":"Hearing aid exam one ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33813","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Improving care for lower extremity joint repair mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0058","description":"Improving care for lower extremity joint repair mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scale","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2140","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scale","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6074","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas extend to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3470","description":"Shoe heel thomas extend to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj follitropin alfa 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0126","description":"Inj follitropin alfa 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88160","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMW","description":"HIPPS-1CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL1","description":"HIPPS-3AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN4","description":"HIPPS-1CGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23A","description":"HIPPS-PC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ BTE/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5221","description":"Hearing aid_ contralateral routing system_ binaural_ BTE/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC221","description":"HIPPS-LC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21A","description":"HIPPS-PB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human ig sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90284","description":"Human ig sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82679","description":"Assay of estrone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef incomplete/modular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4155","description":"Ef incomplete/modular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo total proctocolectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44210","description":"Laparo total proctocolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67975","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0682","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0682","description":"HCPCS-G0682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87537","description":"Hiv-2 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44384","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of abdomen artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37617","description":"Ligation of abdomen artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan 2 main dr by 1 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5050F","description":"Plan 2 main dr by 1 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fistula w/colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45825","description":"Repair fistula w/colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX20","description":"HIPPS-RUX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy fundoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43280","description":"Laparoscopy fundoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0303","description":"HCPCS-C0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4243","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4243","description":"HCPCS-Q4243","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dalteparin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1645","description":"Dalteparin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP ABO 7 EXONS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180U","description":"ABO GNOTYP ABO 7 EXONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote retinal imaging mgmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92228","description":"Remote retinal imaging mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6402","description":"Sterile gauze <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28485","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54205","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0572T","description":"Insertion Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37299","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37299","description":"CPT-37299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPS","description":"HIPPS-1AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opiates 1 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80361","description":"Opiates 1 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 3 dose ped/adol im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90744","description":"Hepb vacc 3 dose ped/adol im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recd f/u w/in 30d disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9402","description":"Recd f/u w/in 30d disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01420","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01420","description":"CPT-01420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Creatine isoforms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82554","description":"Creatine isoforms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38700","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Day habil waiver per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2021","description":"Day habil waiver per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9494","description":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Cyclophosphamide_ (Auromedics)_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9087","description":"Injection_ Cyclophosphamide_ (Auromedics)_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLW","description":"HIPPS-1AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD225","description":"HIPPS-CD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00922","description":"CPT-00922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15738","description":"Muscle-skin graft leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1437","description":"HCPCS-M1437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8720","description":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal over 10mg bupreno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0575","description":"Bupren/nal over 10mg bupreno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0753T","description":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb <10g/dl_ med rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8975","description":"Hgb <10g/dl_ med rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28H","description":"HIPPS-CD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet pheresis irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9036","description":"Platelet pheresis irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0493","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cbt 1st hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94644","description":"Cbt 1st hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0641T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Term dev precision pinch dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6810","description":"Term dev precision pinch dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53220","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00563","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00563","description":"CPT-00563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM2","description":"HIPPS-2AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26483","description":"Transplant/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rout foot care per visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0390","description":"Rout foot care per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ irinotecan liposome_ 1 mg (Onivyde)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9474","description":"Injection_ irinotecan liposome_ 1 mg (Onivyde)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0238","description":"HCPCS-M0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chem/antisept solution_ 8oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4674","description":"Chem/antisept solution_ 8oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22B","description":"HIPPS-PB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC35","description":"HIPPS-RUC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1050T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1050T","description":"CPT-1050T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg > 48 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6239","description":"Hydrocolld drg > 48 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80406","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of foot bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28122","description":"Partial removal of foot bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB35","description":"HIPPS-RUB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77290","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1137F","description":"Epsd bk pain for >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223T","description":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61692","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20C","description":"HIPPS-LE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36215","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cessj therapy cath removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37214","description":"Cessj therapy cath removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22A","description":"HIPPS-CB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX06","description":"HIPPS-RMX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9311","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9311","description":"HCPCS-C9311","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap vent/abd hern proc comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49653","description":"Lap vent/abd hern proc comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate for sz ovr 30 day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385T","description":"Ex h rate for sz ovr 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4402","description":"HCPCS-Q4402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement bridge","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6930","description":"Dental recement bridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1904","description":"HCPCS-A1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bioimpedance cv analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93701","description":"Bioimpedance cv analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no follow imag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9549","description":"Doc med reas no follow imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1C","description":"HIPPS-RHX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supp not othrws c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9999","description":"Parenteral supp not othrws c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feed sup kit grav by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4036","description":"Enteral feed sup kit grav by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61538","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4341","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4341","description":"HCPCS-Q4341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admin + supply_ tositumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3001","description":"Admin + supply_ tositumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13C","description":"HIPPS-CE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain alg alys data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0611T","description":"Mrs disc pain alg alys data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27630","description":"Removal of tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioText_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4245","description":"AmnioText_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Agalsidase beta injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0180","description":"Agalsidase beta injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29901","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27831","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61790","description":"Treat trigeminal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radical resect abd tumor<5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22904","description":"Radical resect abd tumor<5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0925T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0925T","description":"CPT-0925T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protein western blot test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84182","description":"Protein western blot test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA16","description":"HIPPS-AAA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ corticotropin (ANI)_ up to 40 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0802","description":"Injection_ corticotropin (ANI)_ up to 40 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPT","description":"HIPPS-1CFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD104","description":"HIPPS-CD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP6","description":"HIPPS-1AGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60545","description":"Explore adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82376","description":"Assay carboxyhb qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gerd symps assessed 12 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1118F","description":"Gerd symps assessed 12 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 8-14 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0481","description":"Drug test def 8-14 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28294","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitate each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9012","description":"Cryoprecipitate each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65800","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilia clot factor noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7199","description":"Hemophilia clot factor noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB42","description":"HIPPS-RVB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ guselkumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9029","description":"Injection_ guselkumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp without stand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0200","description":"Heat lamp without stand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA33","description":"HIPPS-RHA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Fetal Monitoring Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0621","description":"Hospital Special Treatment Room Support Component (Hstrsc) Fetal Monitoring Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73201","description":"Ct upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy single lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63042","description":"Laminotomy single lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0243","description":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83655","description":"Assay of lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4C","description":"HIPPS-RML4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10C","description":"HIPPS-CB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma-toric/prism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2501","description":"Cntct lens pmma-toric/prism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62323","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8I","description":"HIPPS-RUC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99242","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aldolase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82085","description":"Assay of aldolase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8918","description":"Mra w/cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt mult chr msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9669","description":"Intend rpt mult chr msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair double ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33612","description":"Repair double ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKV","description":"HIPPS-2AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ penile_ inflatab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1813","description":"Prosthesis_ penile_ inflatab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7060","description":"5% dextrose/water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42320","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asth controlled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9432","description":"Asth controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of finger splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29130","description":"Application of finger splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92518","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0713T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC51","description":"HIPPS-RVC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pros sheath/sock w gel cushn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8417","description":"Pros sheath/sock w gel cushn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay galactose transferase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82775","description":"Assay galactose transferase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0566","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0566","description":"HCPCS-G0566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM4","description":"HIPPS-1BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transab esoph hiat hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43333","description":"Transab esoph hiat hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrodes_ pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4556","description":"Electrodes_ pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1301","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1301","description":"CDT-D1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81221","description":"Cftr gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415U","description":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL4","description":"HIPPS-3BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail plate add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11732","description":"Remove nail plate add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport meals escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0210","description":"Noner transport meals escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut fixed dent part man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6117","description":"Imp/abut fixed dent part man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile ducts/pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74300","description":"X-ray bile ducts/pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9281","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lactated ringer_s_ 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5011","description":"5% dextrose in lactated ringer_s_ 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15D","description":"HIPPS-PB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2050","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2050","description":"HCPCS-A2050","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prost cncr rsk not lw/md/hgh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3274F","description":"Prost cncr rsk not lw/md/hgh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA104","description":"HIPPS-CA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of folic acid rbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82747","description":"Assay of folic acid rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKT","description":"HIPPS-1CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93245","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens single vision not oth c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2199","description":"Lens single vision not oth c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary cardiomyopathy (eg_ hypertrophic cardiomyopathy_ dilated cardiomyopathy_ arrhythmogenic right ventricular cardiomyopathy)_ genomic sequence analysis panel_ must inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81439","description":"Hereditary cardiomyopathy (eg_ hypertrophic cardiomyopathy_ dilated cardiomyopathy_ arrhythmogenic right ventricular cardiomyopathy)_ genomic sequence analysis panel_ must inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0130U","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled carbon dioxide test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94770","description":"Exhaled carbon dioxide test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5114","description":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthrp ant appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375T","description":"Total disc arthrp ant appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1304","description":"HCPCS-A1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis treatment performed exactly three times per week for > 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8714","description":"Hemodialysis treatment performed exactly three times per week for > 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0889T","description":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0A","description":"HIPPS-RUC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd control bleeding any","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43255","description":"Egd control bleeding any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB45","description":"HIPPS-RMB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA41","description":"HIPPS-AAA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKU","description":"HIPPS-5BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90682","description":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKV","description":"HIPPS-2CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical cauterization of granulation tissue (ie_ proud flesh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17250","description":"Chemical cauterization of granulation tissue (ie_ proud flesh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01842","description":"CPT-01842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58321","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13A","description":"HIPPS-LD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj cutting into joint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7860","description":"Tmj cutting into joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21632","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12A","description":"HIPPS-HB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36903","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52214","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Molecular testing for a public health related pathogen_ including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0606","description":"Molecular testing for a public health related pathogen_ including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1010","description":"Add pwr leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lodging per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9976","description":"Lodging per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA216","description":"HIPPS-CA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78266","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No asp therp used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8599","description":"No asp therp used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKT","description":"HIPPS-2BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23921","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp5 ped sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0890","description":"Pwc gp5 ped sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fecal microbiota prep instil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0455","description":"Fecal microbiota prep instil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal flow sheet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501F","description":"Prenatal flow sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26670","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pure tone hearing test air","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92551","description":"Pure tone hearing test air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; each additional 15 minutes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92623","description":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; each additional 15 minutes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81204","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1160","description":"Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair head rest extensi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0966","description":"Wheelchair head rest extensi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15877","description":"Suction lipectomy trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AmnioArmor_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4188","description":"AmnioArmor_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81214","description":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos microalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3060F","description":"Pos microalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA22","description":"HIPPS-RVA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4C","description":"HIPPS-RHC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15C","description":"HIPPS-PD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24145","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No unpln rup post cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9390","description":"No unpln rup post cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23A","description":"HIPPS-PA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35011","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disart myoelectronic c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6925","description":"Wrist disart myoelectronic c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thaw cryoprsvrd reprod tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89354","description":"Thaw cryoprsvrd reprod tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42425","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Below knee acrylic socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5629","description":"Below knee acrylic socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0175","description":"HCPCS-J0175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9815","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9815","description":"HCPCS-C9815","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hbot_ full body chamber_ 30m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0277","description":"Hbot_ full body chamber_ 30m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trapezius sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1070","description":"Trapezius sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulm funct tst plethysmograp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94726","description":"Pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0806","description":"Pov group 2 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKV","description":"HIPPS-5AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX55","description":"HIPPS-RMX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast mod rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19307","description":"Mast mod rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2189","description":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-htn or htn doc_ f/u indc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8950","description":"Pre-htn or htn doc_ f/u indc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX17","description":"HIPPS-RMX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis ret-oncogene","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3840","description":"Dna analysis ret-oncogene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0951T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0951T","description":"CPT-0951T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64792","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation supply sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4397","description":"Irrigation supply sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88356","description":"Analysis nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB234","description":"HIPPS-BB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49611","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1601","description":"HCPCS-B1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot longitudinal arch suppo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3010","description":"Foot longitudinal arch suppo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non coring needle or stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4212","description":"Non coring needle or stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Camisole post-mast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8460","description":"Camisole post-mast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2C","description":"HIPPS-RMX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46730","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bld inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9625","description":"Bld inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1478","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1478","description":"HCPCS-M1478","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc of neg or man pos tb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9360","description":"No doc of neg or man pos tb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB126","description":"HIPPS-BB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7196","description":"Antithrombin recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK6","description":"HIPPS-5BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97761","description":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKV","description":"HIPPS-4CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB213","description":"HIPPS-BB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27194","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg (Nucala)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9473","description":"Injection_ mepolizumab_ 1 mg (Nucala)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM4","description":"HIPPS-2BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies regulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1353","description":"Oxygen supplies regulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1702","description":"HCPCS-A1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olipudase alfa-rpcp_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0218","description":"Injection_ olipudase alfa-rpcp_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant maintenance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6080","description":"Implant maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder joint surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23101","description":"Shoulder joint surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9705","description":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE210","description":"HIPPS-CE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroreceiver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63688","description":"Revise/remove neuroreceiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1338","description":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0B","description":"HIPPS-RVL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00190","description":"CPT-00190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ burosumab-twza_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0584","description":"Injection_ burosumab-twza_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx thigh fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27268","description":"Cltx thigh fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nl duct w/balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68816","description":"Probe nl duct w/balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87511","description":"Gardner vag dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rna tstng hep c docd done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3218F","description":"Rna tstng hep c docd done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amniocentesis therapeutic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59001","description":"Amniocentesis therapeutic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0720T","description":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0221","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE136","description":"HIPPS-PE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26844","description":"Fusion/graft of hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC117","description":"HIPPS-CC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6563","description":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90837","description":"Psytx pt&/family 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis and bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54390","description":"Repair penis and bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0082","description":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA50","description":"HIPPS-RHA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analyze pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93724","description":"Analyze pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Er- or pr- breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3316F","description":"Er- or pr- breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46922","description":"Excision of anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein four","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33513","description":"Cabg vein four","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB07","description":"HIPPS-RUB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25391","description":"Lengthen radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42409","description":"Drainage of salivary cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (Vas)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2137","description":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (Vas)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Planar back for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2291","description":"Planar back for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1245","description":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL5","description":"HIPPS-4AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL5","description":"HIPPS-2CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6069","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46280","description":"Remove anal fist complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2B","description":"HIPPS-RLB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0573T","description":"Removal Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27506","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE254","description":"HIPPS-PE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3401","description":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11B","description":"HIPPS-BA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24C","description":"HIPPS-HD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE260","description":"HIPPS-HE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0A","description":"HIPPS-RHA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tonsil tags","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42860","description":"Excision of tonsil tags","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1004","description":"Pwr seat recline mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint supplies misc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4051","description":"Splint supplies misc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD230","description":"HIPPS-HD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Maint drug infus cath per wk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4221","description":"Maint drug infus cath per wk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self care mngment training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97535","description":"Self care mngment training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1mg (Kanuma)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9478","description":"Injection_ sebelipase alfa_ 1mg (Kanuma)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB140","description":"HIPPS-PB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain lower leg lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27603","description":"Drain lower leg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99221","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL30","description":"HIPPS-RHL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor three anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81510","description":"Ftl cgen abnor three anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intercep dental tx transitn","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8060","description":"Intercep dental tx transitn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA256","description":"HIPPS-CA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko w/adj jt rot cntrl molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1844","description":"Ko w/adj jt rot cntrl molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1175","description":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01360","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01360","description":"CPT-01360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight det a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1088","description":"Wheelchair lightweight det a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy with biopsies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44322","description":"Colostomy with biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant double","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32853","description":"Lung transplant double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad w/backup non inv intrfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0471","description":"Rad w/backup non inv intrfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc back tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21932","description":"Exc back tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77057","description":"Mammogram screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8F","description":"HIPPS-RHB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL3","description":"HIPPS-4AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57288","description":"Repair bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29125","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1476","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1476","description":"HCPCS-M1476","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vacc ped/adol 3 dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90634","description":"Hepa vacc ped/adol 3 dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digit nerve surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64778","description":"Digit nerve surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stim brain add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95962","description":"Electrode stim brain add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4316","description":"Cath w/drainage 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28456","description":"Treat midfoot fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3085F","description":"Suicide risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19085","description":"Bx breast 1st lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9051","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52318","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric p r1-r2noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9101","description":"Onc dx gastric p r1-r2noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29040","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone_ Normal Or Abnormal Native","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93595","description":"Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone_ Normal Or Abnormal Native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44378","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Core Needle Biopsy_ Lung Or Mediastinum_ Percutaneous_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32408","description":"Core Needle Biopsy_ Lung Or Mediastinum_ Percutaneous_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6520","description":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revitalon 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4157","description":"Revitalon 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxytetracycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2460","description":"Oxytetracycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN6","description":"HIPPS-3CHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restorative foundation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2949","description":"Restorative foundation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug screenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0002","description":"Alcohol and/or drug screenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45307","description":"Proctosigmoidoscopy fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0983","description":"Add pwr joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC30","description":"HIPPS-RHC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86851","description":"Anesth kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL6","description":"HIPPS-3CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy titrate-airborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95027","description":"Icut allergy titrate-airborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18H","description":"HIPPS-PD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL44","description":"HIPPS-RVL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor pancreas/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48552","description":"Prep donor pancreas/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7556","description":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradation products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85362","description":"Fibrin degradation products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC217","description":"HIPPS-HC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar bolster pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1030","description":"Lumbar bolster pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anesthetic agent; spinal accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64412","description":"Injection_ anesthetic agent; spinal accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11441","description":"Exc face-mm b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47720","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23C","description":"HIPPS-PA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64585","description":"Revise/remove neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival kinetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78190","description":"Platelet survival kinetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1707","description":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 1-4 ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64643","description":"Chemodenerv 1 extrem 1-4 ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (sandoz)_ not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9297","description":"Injection_ pemetrexed (sandoz)_ not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0735T","description":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9093","description":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9536","description":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test feces for trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84488","description":"Test feces for trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3244","description":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Is Using Palliative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9994","description":"Patient Is Using Palliative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2662","description":"Dental onlay resin 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34717","description":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8H","description":"HIPPS-RML8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96113","description":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24073","description":"Ex arm/elbow tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD136","description":"HIPPS-HD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB121","description":"HIPPS-LB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33964","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn incomp inf antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9302","description":"Norsn incomp inf antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture ulnar styloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25652","description":"Treat fracture ulnar styloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2123","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test pure tone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92565","description":"Stenger test pure tone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20B","description":"HIPPS-PE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33999","description":"Cardiac surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL1","description":"HIPPS-2AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Variable asphericity lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2499","description":"Variable asphericity lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0602","description":"Manual breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397U","description":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conductive gel or paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4558","description":"Conductive gel or paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1255","description":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum over 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49204","description":"Exc abd tum over 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc cur meds by prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8427","description":"Doc cur meds by prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82375","description":"Assay carboxyhb quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKW","description":"HIPPS-5BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61710","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23465","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1108","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38100","description":"Removal of spleen total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB144","description":"HIPPS-BB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 4.00d/12-2.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2103","description":"Spherocylindr 4.00d/12-2.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX15","description":"HIPPS-RLX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single visn sphere 4.12-7.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2101","description":"Single visn sphere 4.12-7.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg bk ea add cast ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5410","description":"Postop dsg bk ea add cast ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM2","description":"HIPPS-1BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0056U","description":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMS","description":"HIPPS-2CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Image test ref carot diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3100F","description":"Image test ref carot diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io rad tx deliver by elctrns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77425","description":"Io rad tx deliver by elctrns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67311","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinal male jug-type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0325","description":"Urinal male jug-type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/markers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31626","description":"Bronchoscopy w/markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath/equipment w/faucet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0161","description":"Sitz bath/equipment w/faucet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10B","description":"HIPPS-HC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pet image skull-thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78812","description":"Pet image skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81280","description":"Long qt synd gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28H","description":"HIPPS-PB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic aneurysm<5cm diam ct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9001F","description":"Aortic aneurysm<5cm diam ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press headgear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7035","description":"Pos airway press headgear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20B","description":"HIPPS-CB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interfyl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4171","description":"Interfyl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combo pegintf/rib rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4153F","description":"Combo pegintf/rib rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko derot ant cruciate custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1840","description":"Ko derot ant cruciate custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemo anti-neopl sq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96401","description":"Chemo anti-neopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation thumb complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20824","description":"Replantation thumb complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23B","description":"HIPPS-CB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gait training therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97116","description":"Gait training therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert silicone gel eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3003","description":"Foot insert silicone gel eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC216","description":"HIPPS-HC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13B","description":"HIPPS-CD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 6/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72084","description":"X-ray exam entire spi 6/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel new leather standa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3455","description":"Shoe heel new leather standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracran angioplsty w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61635","description":"Intracran angioplsty w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC126","description":"HIPPS-CC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision hyperplastic tissue","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7970","description":"Excision hyperplastic tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20225","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynmc tx 30 min add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96570","description":"Photodynmc tx 30 min add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnicore pro_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4298","description":"Amnicore pro_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imterprete diagnostic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0391","description":"Imterprete diagnostic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1436","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1436","description":"HCPCS-M1436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis bra & form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8001","description":"Breast prosthesis bra & form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1050","description":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reset dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21480","description":"Reset dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12A","description":"HIPPS-LC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE250","description":"HIPPS-PE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5931","description":"Surgical obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0513","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2002","description":"HCPCS-A2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dent appl desensitizing med","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9910","description":"Dent appl desensitizing med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock multi ply bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8420","description":"Prosthetic sock multi ply bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sbrt management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77435","description":"Sbrt management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69660","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63017","description":"Remove spine lamina >2 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcg live intravesical vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9031","description":"Bcg live intravesical vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"1dose menig vac btwn 11 & 13","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9414","description":"1dose menig vac btwn 11 & 13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0464","description":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00868","description":"CPT-00868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0558U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0558U","description":"CPT-0558U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upr/lxtr art stdy 3+ lvls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93923","description":"Upr/lxtr art stdy 3+ lvls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37281","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37281","description":"CPT-37281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lube sterile packet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4332","description":"Lube sterile packet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP6","description":"HIPPS-1BHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2104","description":"Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vinblastine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9360","description":"Vinblastine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91302","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lwr xtr vasc stdy bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93924","description":"Lwr xtr vasc stdy bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd digitized pre-rec <=8min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2500","description":"Sgd digitized pre-rec <=8min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imatinib 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0088","description":"Imatinib 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64896","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of bile ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47800","description":"Reconstruction of bile ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB130","description":"HIPPS-HB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day center_ 8-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0530","description":"Adult day center_ 8-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25B","description":"HIPPS-CC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump opt inst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0478","description":"Drug test presump opt inst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop ultrasound exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43231","description":"Esophagoscop ultrasound exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand-held pefr meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4614","description":"Hand-held pefr meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bh ltc res r&b_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2048","description":"Bh ltc res r&b_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Affinity1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4159","description":"Affinity1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33362","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ed svc ckd grp per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0421","description":"Ed svc ckd grp per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5A","description":"HIPPS-RUA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98981","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC50","description":"HIPPS-RHC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prp i/hern init reduc >5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49505","description":"Prp i/hern init reduc >5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3376","description":"HCPCS-J3376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1009","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-4 no dx prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9086","description":"Onc dx colon t1-4 no dx prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM3","description":"HIPPS-4CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97813","description":"Acupunct w/stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14C","description":"HIPPS-ES14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nsg aide service up to 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1004","description":"Nsg aide service up to 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium thiosulfate_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0208","description":"Injection_ sodium thiosulfate_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5504","description":"Diabetic shoe with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us < 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76802","description":"Ob us < 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8991","description":"Other pt/ot goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKV","description":"HIPPS-5BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9781","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99204","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heparin infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1520","description":"Heparin infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl nstim array vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313T","description":"Laps rmvl nstim array vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21615","description":"Removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1402","description":"HCPCS-C1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4342","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4342","description":"HCPCS-Q4342","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28112","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLS","description":"HIPPS-2CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21242","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76101","description":"Complex body section x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of unstable kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27422","description":"Revision of unstable kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethosuximide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80168","description":"Assay of ethosuximide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD241","description":"HIPPS-LD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intradiscal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1754","description":"Catheter_ intradiscal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1401","description":"HCPCS-C1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise arm/leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64708","description":"Revise arm/leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25A","description":"HIPPS-PC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE217","description":"HIPPS-CE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand tum deep 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26113","description":"Exc hand tum deep 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB101","description":"HIPPS-PB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA213","description":"HIPPS-BA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1376","description":"HCPCS-M1376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advancing rheumatology patient care mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0053","description":"Advancing rheumatology patient care mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (IIV4)_ split virus_ preservative free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90686","description":"Influenza virus vaccine_ quadrivalent (IIV4)_ split virus_ preservative free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column thorac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22206","description":"Incis spine 3 column thorac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1013T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1013T","description":"CPT-1013T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blink reflex test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95933","description":"Blink reflex test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87516","description":"Hepatitis b dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC55","description":"HIPPS-RVC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMT","description":"HIPPS-2BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA251","description":"HIPPS-PA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2089","description":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate laser enucleation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52649","description":"Prostate laser enucleation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/4.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2309","description":"Lens sphc trifocal 4.25-7/4.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63267","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK6","description":"HIPPS-2BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inotuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9229","description":"Injection_ inotuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35537","description":"Art byp grft aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLX","description":"HIPPS-2AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67039","description":"Laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD250","description":"HIPPS-CD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9890","description":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80334","description":"Antidepressants class 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr complx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61697","description":"Brain aneurysm repr complx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2B","description":"HIPPS-RMC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehab/monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93798","description":"Cardiac rehab/monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attached to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0920","description":"Fracture frame attached to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50610","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51530","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96573","description":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC120","description":"HIPPS-HC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20206","description":"Needle biopsy muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain image w/flow 4 + views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78606","description":"Brain image w/flow 4 + views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0108","description":"Stroke with Motor <26.15 & Age >84.5_ without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21436","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC111","description":"HIPPS-LC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8811","description":"No rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ transluminal intravascular lesion preparation device_ bladed_ sheathed (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1600","description":"Catheter_ transluminal intravascular lesion preparation device_ bladed_ sheathed (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infiltration of sustained release therapeutic drug - single or multiple sites","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9613","description":"Infiltration of sustained release therapeutic drug - single or multiple sites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation digit complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20816","description":"Replantation digit complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0532","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0532","description":"HCPCS-G0532","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL6","description":"HIPPS-3CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2A","description":"HIPPS-RUC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal allograft pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48556","description":"Removal allograft pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64790","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scrn hcv infec not recd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9386","description":"Scrn hcv infec not recd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv)_ includes: hiv risk assessment (initial or continued","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0013","description":"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv)_ includes: hiv risk assessment (initial or continued","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening fentanyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80354","description":"Drug screening fentanyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB254","description":"HIPPS-BB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transhepatic biliary drainage with contrast monitoring_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75980","description":"Percutaneous transhepatic biliary drainage with contrast monitoring_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice general care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2045","description":"Hospice general care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB50","description":"HIPPS-RLB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0999T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0999T","description":"CPT-0999T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL2","description":"HIPPS-4AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB216","description":"HIPPS-CB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253U","description":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"DI GNOTYP SLC4A1 EXON 19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0183U","description":"DI GNOTYP SLC4A1 EXON 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap insert tunnel ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49324","description":"Lap insert tunnel ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27650","description":"Repair achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0526U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0526U","description":"CPT-0526U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5A","description":"HIPPS-RVL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1832","description":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24800","description":"Fusion of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0743","description":"HCPCS-E0743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peridontal medicament","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5994","description":"Peridontal medicament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist/forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25116","description":"Remove wrist/forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA211","description":"HIPPS-BA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70482","description":"Ct orbit/ear/fossa w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB06","description":"HIPPS-RLB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25574","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42600","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation heart device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93640","description":"Evaluation heart device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28070","description":"Removal of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69421","description":"Incision of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB52","description":"HIPPS-RLB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std port cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0814","description":"Pwc gp 1 std port cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elevating whlchair leg rests","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0195","description":"Elevating whlchair leg rests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid imaging w/blood flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78013","description":"Thyroid imaging w/blood flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9981","description":"Med record copy admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98984","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98984","description":"CPT-98984","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25265","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLV","description":"HIPPS-4CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement Of Lost Or Broken Retainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8704","description":"Replacement Of Lost Or Broken Retainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL6","description":"HIPPS-4BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5D","description":"HIPPS-RML5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Split blood or products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86985","description":"Split blood or products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1003","description":"HCPCS-A1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27110","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33688","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31648","description":"Bronchial valve remov init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC211","description":"HIPPS-PC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are receiving comfort care only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9930","description":"Patients who are receiving comfort care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft een & lips","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15260","description":"Skin full graft een & lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75860","description":"Vein x-ray neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9034","description":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval trac inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9606","description":"Intraop cyst eval trac inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8C","description":"HIPPS-RMA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86790","description":"Virus antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81249","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing complete hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81379","description":"Hla i typing complete hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraor complete film series","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0210","description":"Intraor complete film series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9699","description":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol mask used w nebulize","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7015","description":"Aerosol mask used w nebulize","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0635U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0635U","description":"CPT-0635U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent same","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37238","description":"Open/perq place stent same","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flexible brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43200","description":"Esophagoscopy flexible brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-n3 inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9215","description":"Interferon alfa-n3 inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD151","description":"HIPPS-CD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4562F","description":"Pt w/o coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of natriuretic peptide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83880","description":"Assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay blood carbon dioxide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82374","description":"Assay blood carbon dioxide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/2.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2204","description":"Lens sphcy bifocal 4.00d/2.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toc tool incl elem not used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9658","description":"Toc tool incl elem not used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33803","description":"Repair vessel defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump not opt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0479","description":"Drug test presump not opt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27495","description":"Reinforce thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no pos air press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8849","description":"Doc reas no pos air press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immune admin oral/nasal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90474","description":"Immune admin oral/nasal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thromboemb risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1180F","description":"Thromboemb risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11313","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8049","description":"Repair maxillofacial prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tcran magn stim redetemine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90869","description":"Tcran magn stim redetemine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21C","description":"HIPPS-PB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64656","description":"CPT-64656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9997","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9997","description":"HCPCS-Q9997","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX53","description":"HIPPS-RMX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9993","description":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch w bar/bltinconv/fltr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4417","description":"Ost pch w bar/bltinconv/fltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam breastbone 2/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71120","description":"X-ray exam breastbone 2/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vivaglobin_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1562","description":"Vivaglobin_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ulnar nerve at elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64718","description":"Revise ulnar nerve at elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMT","description":"HIPPS-4CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ftrst upper hanger bracket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0044","description":"Ftrst upper hanger bracket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72132","description":"Ct lumbar spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59430","description":"Care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25505","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7550","description":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0569U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0569U","description":"CPT-0569U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18D","description":"HIPPS-CE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m sulfur colloid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9541","description":"Tc99m sulfur colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB220","description":"HIPPS-HB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80434","description":"Insulin tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0825","description":"Pwc gp 2 hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of arm artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35045","description":"Repair defect of arm artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLV","description":"HIPPS-4AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No early ind/delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9355","description":"No early ind/delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35A","description":"HIPPS-ES35A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/fast/dir lab ldl-c >190","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9675","description":"Pt w/fast/dir lab ldl-c >190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0032","description":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mgmt gene methylation anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81287","description":"Mgmt gene methylation anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLU","description":"HIPPS-2AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician_ reason not","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1002","description":"Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician_ reason not","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22B","description":"HIPPS-LC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8953","description":"Oncology mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLS","description":"HIPPS-4AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth transmit_ per min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1014","description":"Telehealth transmit_ per min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22C","description":"HIPPS-LE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA53","description":"HIPPS-RVA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9736","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1087","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7627","description":"Budesonide comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315U","description":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise hernia & sperm veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55540","description":"Revise hernia & sperm veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0992T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0992T","description":"CPT-0992T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical testimony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99075","description":"Medical testimony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interferon beta-1a inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1826","description":"Interferon beta-1a inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1C","description":"HIPPS-RLX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hook to hand cable adapter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6670","description":"Hook to hand cable adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use txmnt counseling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4000F","description":"Tobacco use txmnt counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laiv3 vaccine intranasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90660","description":"Laiv3 vaccine intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Outside state ambulance serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0021","description":"Outside state ambulance serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC52","description":"HIPPS-RVC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9293","description":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33363","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81274","description":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB56","description":"HIPPS-RUB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trichomonas vaginalis amplif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87661","description":"Trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w/ supinat/pronator c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3202","description":"Oxford w/ supinat/pronator c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01654","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01654","description":"CPT-01654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84300","description":"Assay of urine sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cholangiography_ percutaneous_ transhepatic_ radiological supervisionand interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74320","description":"Cholangiography_ percutaneous_ transhepatic_ radiological supervisionand interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98972","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1185","description":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult70","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0427","description":"Inpt/ed teleconsult70","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE144","description":"HIPPS-PE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50365","description":"Transplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove mandible cyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21046","description":"Remove mandible cyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67961","description":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42844","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC55","description":"HIPPS-RUC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61539","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13D","description":"HIPPS-LB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163U","description":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKX","description":"HIPPS-2BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1341","description":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80350","description":"Cannabinoids synthetic 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1475","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1475","description":"HCPCS-M1475","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx_ accessory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8505","description":"Artificial larynx_ accessory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65272","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal valve collapse with low energy_ temperature-controlled (ie_ radiofrequency) subcutaneous/submucosal remodeling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30469","description":"Repair of nasal valve collapse with low energy_ temperature-controlled (ie_ radiofrequency) subcutaneous/submucosal remodeling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61791","description":"Treat trigeminal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86051","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP5","description":"HIPPS-3BHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma_ sessile serrated polyp_ or sessile serrated adenoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9934","description":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma_ sessile serrated polyp_ or sessile serrated adenoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ age 12 years or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31552","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ age 12 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0597U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0597U","description":"CPT-0597U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1136","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD250","description":"HIPPS-LD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ froz/degly/wash","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9054","description":"Blood_ l/r_ froz/degly/wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch liq deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4394","description":"Ostomy pouch liq deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram both breasts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77056","description":"Mammogram both breasts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cervical laminoplsty 2/> seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63050","description":"Cervical laminoplsty 2/> seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-84394","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84394","description":"CPT-84394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; initial measurement and calibration of cap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0662T","description":"Scalp cooling_ mechanical; initial measurement and calibration of cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splicing of ureters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50770","description":"Splicing of ureters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00836","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00836","description":"CPT-00836","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6525","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem nonodonto cyst > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7461","description":"Rem nonodonto cyst > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens pmma spherical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2500","description":"Contact lens pmma spherical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01230","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01230","description":"CPT-01230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thera&Couns Svcs (Counseling Svcs)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0093","description":"Thera&Couns Svcs (Counseling Svcs)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l4/l5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309T","description":"Prescrl fuse w/ instr l4/l5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag w/o liv/kid/adr les","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9551","description":"Abd imag w/o liv/kid/adr les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0461","description":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco non-user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1036F","description":"Tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver 3-segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47144","description":"Prep donor liver 3-segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prostate saturation sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55706","description":"Prostate saturation sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 4 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34844","description":"Endovasc visc aorta 4 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1434","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1434","description":"HCPCS-M1434","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Followup eval of foot pt lop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0246","description":"Followup eval of foot pt lop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gene test retinoblastoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3841","description":"Gene test retinoblastoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axillary-axilry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35518","description":"Art byp grft axillary-axilry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quant oxcarbazepin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80183","description":"Drug scrn quant oxcarbazepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gallium nitrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1457","description":"Gallium nitrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59320","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD121","description":"HIPPS-CD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1497","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1497","description":"HCPCS-M1497","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inhibitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7198","description":"Anti-inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov part bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7230","description":"Impact tooth remov part bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27245","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe w/roller/rockr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5503","description":"Diabetic shoe w/roller/rockr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental sealant per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1351","description":"Dental sealant per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent w/angio 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92928","description":"Prq card stent w/angio 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision/fixation of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27165","description":"Incision/fixation of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for bladder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51600","description":"Injection for bladder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL6","description":"HIPPS-1AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA26","description":"HIPPS-RUA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59136","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/pat by hc prof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99366","description":"Team conf w/pat by hc prof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24115","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01933","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01933","description":"CPT-01933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4394","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4394","description":"HCPCS-Q4394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"InnovaMatrix PD_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2023","description":"InnovaMatrix PD_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD211","description":"HIPPS-HD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance response/treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0998","description":"Ambulance response/treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eeg cerebral death only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95824","description":"Eeg cerebral death only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi delay w/kub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74241","description":"X-ray upper gi delay w/kub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21196","description":"Reconst lwr jaw w/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attach bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51841","description":"Attach bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9370","description":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13B","description":"HIPPS-BA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck ext unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9112","description":"Onc dx head/neck ext unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL6","description":"HIPPS-2AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of uvula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42140","description":"Excision of uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4346","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4346","description":"HCPCS-Q4346","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck t1-t2no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9109","description":"Onc dx head/neck t1-t2no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3268","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"HCPCS-J3268","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl leath cuff kafo prox th","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4100","description":"Repl leath cuff kafo prox th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ko elas w/ condyle pads & jo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1820","description":"Ko elas w/ condyle pads & jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Piperacillin/tazobactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2543","description":"Piperacillin/tazobactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Infinx_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1018","description":"Clinical decision support mechanism Infinx_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN1","description":"HIPPS-1CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53605","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKT","description":"HIPPS-5CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine quadrivalent (IIV4)_ inactivated_ adjuvanted_ preservative free_ 0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90689","description":"Influenza virus vaccine quadrivalent (IIV4)_ inactivated_ adjuvanted_ preservative free_ 0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25C","description":"HIPPS-CB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic fine wire emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96003","description":"Dynamic fine wire emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37282","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37282","description":"CPT-37282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frame depth 22 to 25 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2204","description":"Frame depth 22 to 25 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27332","description":"Removal of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pm generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33233","description":"Removal of pm generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18F","description":"HIPPS-LE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise aqueous shunt eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66185","description":"Revise aqueous shunt eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd varices ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43244","description":"Egd varices ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76830","description":"Transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12C","description":"HIPPS-CD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foot_ adductus positioning device_ adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3161","description":"Foot_ adductus positioning device_ adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0007","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61600","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP06","description":"HIPPS-ATP06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo frict swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5712","description":"Knee-shin exo frict swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg >16<=48 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6213","description":"Foam drg >16<=48 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserve stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38207","description":"Cryopreserve stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB124","description":"HIPPS-PB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malig tumor > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7441","description":"Malig tumor > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1027","description":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98006","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98006","description":"CPT-98006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve/shorten bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64876","description":"Repair nerve/shorten bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270T","description":"Rev/remvl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch home day #2 evar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8826","description":"Pt disch home day #2 evar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11604","description":"Exc tr-ext mal+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC140","description":"HIPPS-CC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icm device interrogat remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93297","description":"Icm device interrogat remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27620","description":"Explore/treat ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413T","description":"Rmvl car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2A","description":"HIPPS-RUB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE126","description":"HIPPS-PE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0539","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0539","description":"HCPCS-G0539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain lower leg bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27604","description":"Drain lower leg bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5255","description":"Hearing aid_ digit_ mon_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5155","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5155","description":"HCPCS-Q5155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC241","description":"HIPPS-HC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA51","description":"HIPPS-RMA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC46","description":"HIPPS-RVC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63191","description":"Incise spine accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic digital breast tomosynthesis_ unilateral or bilateral (list separately in addition to 77065-77067)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0279","description":"Diagnostic digital breast tomosynthesis_ unilateral or bilateral (list separately in addition to 77065-77067)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay everolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80169","description":"Drug assay everolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24102","description":"Remove elbow joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 50-100","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88248","description":"Chromosome analysis 50-100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gadobutrol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9585","description":"Gadobutrol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ total or near total_ with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43286","description":"Esophagectomy_ total or near total_ with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy hamstring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27325","description":"Neurectomy hamstring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophagoplasty cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43314","description":"Tracheo-esophagoplasty cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Each Additional 15 Minutes Of One-On-One Physician Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90913","description":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Each Additional 15 Minutes Of One-On-One Physician Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"LW GNOTYP ICAM4 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0197U","description":"LW GNOTYP ICAM4 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK2","description":"HIPPS-3BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23A","description":"HIPPS-BB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00832","description":"CPT-00832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94774","description":"Ped home apnea rec compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0761T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculation tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87252","description":"Virus inoculation tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of circumcision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54163","description":"Repair of circumcision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc death in hosp aaa repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9262","description":"Doc death in hosp aaa repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59325","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK1","description":"HIPPS-2BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64454","description":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0107","description":"Stroke with Motor >26.15 & Motor <30.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMS","description":"HIPPS-2CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Albumin ischemia modified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82045","description":"Albumin ischemia modified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33405","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL60","description":"HIPPS-RVL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt counsld on exam for moles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5005F","description":"Pt counsld on exam for moles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23D","description":"HIPPS-PA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma scrn hgh risk direc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0118","description":"Glaucoma scrn hgh risk direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c probe&rvrs trnsc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87521","description":"Hepatitis c probe&rvrs trnsc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43425","description":"Repair esophagus opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4399","description":"HCPCS-Q4399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pozelimab-bbfg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9376","description":"Injection_ pozelimab-bbfg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0539U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0539U","description":"CPT-0539U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta dev setup&educaj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0604T","description":"Rem oct rta dev setup&educaj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25A","description":"HIPPS-BB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25B","description":"HIPPS-LB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7563","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7563","description":"HCPCS-C7563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11308","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal speciality","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2399","description":"Lens trifocal speciality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not assessing hepatitis B virus (HBV) status (e.g._ patient not initiating anti-TNF therapy_ patient declined) prior to initiating anti-TNF therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9504","description":"Documented reason for not assessing hepatitis B virus (HBV) status (e.g._ patient not initiating anti-TNF therapy_ patient declined) prior to initiating anti-TNF therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES354","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES354","description":"HIPPS-ES354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ic lbw inf < 1500 gm subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99478","description":"Ic lbw inf < 1500 gm subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pump uninterrupted infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0455","description":"Pump uninterrupted infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ suprapubic/cystoscopic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2627","description":"Cath_ suprapubic/cystoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Youth size pull-on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4534","description":"Youth size pull-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyalomatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4117","description":"Hyalomatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial thyroid excision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60212","description":"Partial thyroid excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-96041","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96041","description":"CPT-96041","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX17","description":"HIPPS-RVX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8039","description":"Breast prosthesis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC51","description":"HIPPS-RHC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj ganirelix acetat 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0132","description":"Inj ganirelix acetat 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm pouch lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55680","description":"Remove sperm pouch lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92638","description":"CPT-92638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7632","description":"Cromolyn sodium comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp <5 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99143","description":"Mod sedat phys/qhp <5 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB206","description":"HIPPS-HB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450U","description":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mild","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1490F","description":"Dem severity classified mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL1","description":"HIPPS-4AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0152U","description":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0027","description":"Semen analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip joint adjustable flexion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2622","description":"Hip joint adjustable flexion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31293","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0138","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0138","description":"HCPCS-J0138","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL6","description":"HIPPS-2BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain nobel metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6242","description":"Bridge porcelain nobel metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ torso/shoulder_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6569","description":"Gradient compression garment_ torso/shoulder_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC13","description":"HIPPS-RHC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL4","description":"HIPPS-3BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject trigger points 3/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20553","description":"Inject trigger points 3/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA135","description":"HIPPS-PA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inlay composite/resin one su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2650","description":"Inlay composite/resin one su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Card MRI w/stress img & dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75563","description":"Card MRI w/stress img & dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pp eval/edu perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9357","description":"Pp eval/edu perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Silicone gel sheet_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6025","description":"Silicone gel sheet_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45123","description":"Partial proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0516","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01938","description":"CPT-01938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0014","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4B","description":"HIPPS-RUL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE226","description":"HIPPS-LE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50544","description":"Laparoscopy pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8670","description":"Fun stat score ue not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of selenium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84255","description":"Assay of selenium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1603","description":"HCPCS-C1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45399","description":"Unlisted procedure colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11C","description":"HIPPS-LB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv <10mg daily predniso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4193F","description":"Pt rcv <10mg daily predniso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNW","description":"HIPPS-1BFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA140","description":"HIPPS-PA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30A","description":"HIPPS-ES30A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepc mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8549","description":"Hepc mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als esophageal intub suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0396","description":"Als esophageal intub suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE221","description":"HIPPS-LE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34B","description":"HIPPS-ES34B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dexamethasone 9%_ intraocular_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9034","description":"Injection_ dexamethasone 9%_ intraocular_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous component_ supply or accessory for use with total artificial heart system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8698","description":"Miscellaneous component_ supply or accessory for use with total artificial heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 2vw frontal&latl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71020","description":"Chest x-ray 2vw frontal&latl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1096T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1096T","description":"CPT-1096T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287U","description":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1008T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1008T","description":"CPT-1008T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lip surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40799","description":"Lip surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical_ diagnostic_ for non-tumor identification_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9598","description":"Positron emission tomography radiopharmaceutical_ diagnostic_ for non-tumor identification_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD125","description":"HIPPS-CD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112U","description":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis training complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90989","description":"Dialysis training complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20C","description":"HIPPS-HD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25B","description":"HIPPS-CA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41800","description":"Drainage of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpectin based ostomy paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4405","description":"Nonpectin based ostomy paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biomechanical mapping_ transvaginal_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0487T","description":"Biomechanical mapping_ transvaginal_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00104","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00104","description":"CPT-00104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC16","description":"HIPPS-RMC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep a vac injxn admin/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4148F","description":"Hep a vac injxn admin/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87637","description":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99205","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24600","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0491","description":"Emr pwr source combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9174","description":"HCPCS-C9174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90589","description":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18G","description":"HIPPS-PD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90593","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90593","description":"CPT-90593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29826","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401U","description":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26775","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM6","description":"HIPPS-4BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL10","description":"HIPPS-RVL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0166U","description":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Barium swallow test ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3142F","description":"Barium swallow test ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with transvenous sensing and stimulation leads","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1823","description":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with transvenous sensing and stimulation leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPV","description":"HIPPS-3CFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK1","description":"HIPPS-4CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hhc rn e&m plan svs_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0162","description":"Hhc rn e&m plan svs_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA13","description":"HIPPS-RHA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol decanoate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1631","description":"Haloperidol decanoate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96574","description":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eps Gast Cardia Plic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9724","description":"Eps Gast Cardia Plic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatc p r1/r2 no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9106","description":"Onc dx pancreatc p r1/r2 no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amnio or biodmatrix_ inj 1cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4139","description":"Amnio or biodmatrix_ inj 1cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0895T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9089","description":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recomb novoeight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7182","description":"Factor viii recomb novoeight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2604","description":"Skin protect wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE160","description":"HIPPS-LE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ixabepilone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9207","description":"Ixabepilone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB160","description":"HIPPS-LB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Signs of melanoma absent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8749","description":"Signs of melanoma absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0516","description":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP5","description":"HIPPS-1CFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB50","description":"HIPPS-RUB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35304","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73700","description":"Ct lower extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx_ BioSkin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4163","description":"WoundEx_ BioSkin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for salivary x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42550","description":"Injection for salivary x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9794","description":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx atrial fib pulm vein isol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93656","description":"Tx atrial fib pulm vein isol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2390","description":"Solid drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair fixed retainers","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8694","description":"Repair fixed retainers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost clsd pouch w att st barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4387","description":"Ost clsd pouch w att st barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temporary replacement eqpmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0462","description":"Temporary replacement eqpmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lacer molded to patient mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2330","description":"Lacer molded to patient mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compact travel hemodialyzer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1635","description":"Compact travel hemodialyzer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vit for macular pucker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67041","description":"Vit for macular pucker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00938","description":"CPT-00938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP4","description":"HIPPS-1AHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted for performance of elective carotid intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9689","description":"Patient admitted for performance of elective carotid intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK6","description":"HIPPS-3AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL1","description":"HIPPS-2AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair commode seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0968","description":"Wheelchair commode seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70360","description":"X-ray exam of neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2405","description":"Ondansetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ hexaminolevulinate hydrochloride_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9589","description":"Instillation_ hexaminolevulinate hydrochloride_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNV","description":"HIPPS-1BGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77787","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1065T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1065T","description":"CPT-1065T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spec rpt no doc class histo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9425","description":"Spec rpt no doc class histo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5138","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stab phleb veins xtr 10-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37765","description":"Stab phleb veins xtr 10-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB216","description":"HIPPS-LB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topographic brain mapping","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8040","description":"Topographic brain mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas iliac a device addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34808","description":"Endovas iliac a device addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9987","description":"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0841T","description":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78431","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal therapy anterior prim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3230","description":"Pulpal therapy anterior prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP6","description":"HIPPS-1AHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9885","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect talus/calcaneus tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27647","description":"Resect talus/calcaneus tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0809T","description":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9796","description":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 xhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0854","description":"Pwc gp 3 xhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impl/redo electrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43881","description":"Impl/redo electrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery electrocorticogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95829","description":"Surgery electrocorticogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgicl dress hold non-reuse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4461","description":"Surgicl dress hold non-reuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNX","description":"HIPPS-1CGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell percentage <15%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3497F","description":"Cd4+ cell percentage <15%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33417","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interp both jaw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0367","description":"Cone beam ct interp both jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25D","description":"HIPPS-LC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoped ladies shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3216","description":"Orthoped ladies shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35458","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6448","description":"Lt compres band <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25B","description":"HIPPS-ES25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20C","description":"HIPPS-PA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB255","description":"HIPPS-HB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15C","description":"HIPPS-HD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg or abdomen bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4358","description":"Urinary leg or abdomen bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2160","description":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52285","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83718","description":"Assay of lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0632U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0632U","description":"CPT-0632U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20606","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss conditn maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5850","description":"Denture tiss conditn maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2B","description":"HIPPS-RLX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41016","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK2","description":"HIPPS-2AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ag detect nos ia single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87450","description":"Ag detect nos ia single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5A","description":"HIPPS-RUX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Malaria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86750","description":"Malaria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24B","description":"HIPPS-PE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in ltch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5007","description":"Hospice in ltch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC206","description":"HIPPS-CC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44144","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX01","description":"HIPPS-RVX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hep b scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3513F","description":"Hep b scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dipyridamole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1245","description":"Dipyridamole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m exametazime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9521","description":"Tc99m exametazime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC43","description":"HIPPS-RUC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11042","description":"Deb subq tissue 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21087","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef>=40% doc normal or mild","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8395","description":"Lvef>=40% doc normal or mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dna antibody native","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86225","description":"Dna antibody native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4C","description":"HIPPS-RVA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit simple cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5498","description":"Hit simple cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj cmo not pres rsn not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8929","description":"Adj cmo not pres rsn not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59121","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect clavicle tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23200","description":"Resect clavicle tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28A","description":"HIPPS-BB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped specmetabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4162","description":"Ef ped specmetabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35521","description":"Art byp grft axill-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Delivery/set up/dispensing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9901","description":"Delivery/set up/dispensing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1743","description":"HCPCS-C1743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4001","description":"Diagnostic Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibiotic not pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8708","description":"Antibiotic not pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trtmnt simulation 3d image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0393","description":"Trtmnt simulation 3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-programble infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0782","description":"Non-programble infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX53","description":"HIPPS-RHX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX36","description":"HIPPS-RMX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9928","description":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54110","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA05","description":"HIPPS-RHA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl skn surf brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77768","description":"Hdr rdncl skn surf brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2310","description":"Electro connect btw control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Not Referred_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0039","description":"Patient Not Referred_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise flexor carpi radialis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25001","description":"Incise flexor carpi radialis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB36","description":"HIPPS-RVB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Unilateral Space Maintainer - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1553","description":"Re-Cement Or Re-Bond Unilateral Space Maintainer - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow hosmer swit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7170","description":"Electronic elbow hosmer swit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nitroglycerin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2305","description":"Injection_ nitroglycerin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rib fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21813","description":"Treatment of rib fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC250","description":"HIPPS-LC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply surf ldr radionuclide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77789","description":"Apply surf ldr radionuclide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA21","description":"HIPPS-RVA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64713","description":"Revision of arm nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0B","description":"HIPPS-RLB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86813","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf vein add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36476","description":"Endovenous rf vein add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12B","description":"HIPPS-HE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB44","description":"HIPPS-RHB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA52","description":"HIPPS-RHA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90477","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58301","description":"Remove intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7544","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin angio laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1885","description":"Cath_ translumin angio laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22B","description":"HIPPS-HB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0549T","description":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting ramus closed","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7941","description":"Bone cutting ramus closed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA52","description":"HIPPS-RVA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK3","description":"HIPPS-5BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable endoscope sheath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4270","description":"Disposable endoscope sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18C","description":"HIPPS-CA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4350","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4350","description":"HCPCS-Q4350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63198","description":"Incise spin&cord 2 stgs crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1001","description":"HCPCS-B1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPS","description":"HIPPS-3CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for therapy guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77014","description":"Ct scan for therapy guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1048T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1048T","description":"CPT-1048T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0754T","description":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0829T","description":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct vena cava","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34502","description":"Reconstruct vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug/bio noc part b drug cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4082","description":"Drug/bio noc part b drug cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKV","description":"HIPPS-2AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl 11-12.9 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3280F","description":"Hgb lvl 11-12.9 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0492","description":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho cap design w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3961","description":"Sewho cap design w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medications not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9638","description":"At least two orders for the same high-risk medications not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextroamphetamine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0160","description":"Dextroamphetamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC54","description":"HIPPS-RVC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP4","description":"HIPPS-3BGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2395","description":"Offset knee joint heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3C","description":"HIPPS-RHA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psytx crisis initial 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90839","description":"Psytx crisis initial 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laundry serv_ext_prof_/order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5175","description":"Laundry serv_ext_prof_/order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9322","description":"No doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fos c chld non-ther per mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0042","description":"Fos c chld non-ther per mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77280","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2386","description":"Foam filled drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61543","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal vitamins 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0197","description":"Prenatal vitamins 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES310","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES310","description":"HIPPS-ES310","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place cath thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36221","description":"Place cath thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracranial bilat study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93880","description":"Extracranial bilat study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81326","description":"Pmp22 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL6","description":"HIPPS-4BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving an anti-TNF agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9914","description":"Patient receiving an anti-TNF agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion ac tri-layer_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4305","description":"American amnion ac tri-layer_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40525","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14B","description":"HIPPS-BB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Driver pneumatic vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0480","description":"Driver pneumatic vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD101","description":"HIPPS-LD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73580","description":"Contrast x-ray of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3D","description":"HIPPS-RHC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver whole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47143","description":"Prep donor liver whole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23A","description":"HIPPS-BA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0802","description":"Pov group 1 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX42","description":"HIPPS-RVX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93897","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93897","description":"CPT-93897","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hand restorat thumb/1 finger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6900","description":"Hand restorat thumb/1 finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recement supp part denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6093","description":"Recement supp part denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of jaw muscle/bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21295","description":"Revision of jaw muscle/bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6999","description":"Fixed prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48547","description":"Duodenal exclusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15A","description":"HIPPS-CC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ phenylephrine ketorolac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9447","description":"Inj_ phenylephrine ketorolac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB226","description":"HIPPS-LB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94452","description":"Hast w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esoph scope w/submucous inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43201","description":"Esoph scope w/submucous inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult disp brief/diap abv xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4543","description":"Adult disp brief/diap abv xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Body pos goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8982","description":"Body pos goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLV","description":"HIPPS-3CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24B","description":"HIPPS-CD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90623","description":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43123","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single lens spectacle mount","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2610","description":"Single lens spectacle mount","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methadone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1230","description":"Methadone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5A","description":"HIPPS-RLA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB226","description":"HIPPS-PB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA34","description":"HIPPS-RHA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37606","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10A","description":"HIPPS-HC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15760","description":"Composite skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4417","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4417","description":"HCPCS-Q4417","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy for aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31515","description":"Laryngoscopy for aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22B","description":"HIPPS-HE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcath closure of asd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93580","description":"Transcath closure of asd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM6","description":"HIPPS-2BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81298","description":"Msh6 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLV","description":"HIPPS-1AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9098","description":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35211","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26841","description":"Fusion of thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3399","description":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj common digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64632","description":"N block inj common digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml acceler phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9124","description":"Onc dx cml acceler phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77076","description":"X-rays bone survey infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58950","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28H","description":"HIPPS-PA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation of spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22505","description":"Manipulation of spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm pair wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0112","description":"Crutch underarm pair wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"G6pc gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81250","description":"G6pc gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric electrophysiology mapping with simultaneous patient symptom profiling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9787","description":"Gastric electrophysiology mapping with simultaneous patient symptom profiling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging 3 phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78315","description":"Bone imaging 3 phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0518U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0518U","description":"CPT-0518U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28750","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Female condom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4268","description":"Female condom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI brain done 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3112F","description":"CT/MRI brain done 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of impacted wax md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0268","description":"Removal of impacted wax md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0871","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0871","description":"HCPCS-J0871","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25915","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Redo compl cardiac anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33622","description":"Redo compl cardiac anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute hepatitis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80074","description":"Acute hepatitis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0204","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low risk for retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3072F","description":"Low risk for retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Analysis of saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0418","description":"Analysis of saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1058T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1058T","description":"CPT-1058T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5A","description":"HIPPS-RUL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59410","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic radiation trmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77432","description":"Stereotactic radiation trmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ccp antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86200","description":"Ccp antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9981","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12B","description":"HIPPS-CA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL4","description":"HIPPS-1CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50727","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parkinsons disease mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8903","description":"Parkinsons disease mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric wound treatment dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0769","description":"Electric wound treatment dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronch w/balloon occlusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31634","description":"Bronch w/balloon occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1349","description":"Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102T","description":"Extracorp shockwv tx anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sclerosant; single incompetent vein (other than telangiectasia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36470","description":"Injection of sclerosant; single incompetent vein (other than telangiectasia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ udenyca 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5111","description":"Injection_ udenyca 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24D","description":"HIPPS-CC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65870","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54055","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay activated protein c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85307","description":"Assay activated protein c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21B","description":"HIPPS-PE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72069","description":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3273F","description":"High risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91300","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leveen/shunt patency exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78291","description":"Leveen/shunt patency exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86309","description":"Heterophile antibody titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 75 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7110","description":"Dextran 75 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0D","description":"HIPPS-RHC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth trachea bronchi surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54851","description":"Anesth trachea bronchi surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD211","description":"HIPPS-PD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61253","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin suppl 100 caps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0194","description":"Vitamin suppl 100 caps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92002","description":"Eye exam new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ programmable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1772","description":"Infusion pump_ programmable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul trial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282T","description":"Periph field stimul trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81457","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis access system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1881","description":"Dialysis access system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18E","description":"HIPPS-CD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis volume measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81050","description":"Urinalysis volume measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL2","description":"HIPPS-1BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7548","description":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC03","description":"HIPPS-RMC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62147","description":"Repair of skull with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj bulking agent anal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8605","description":"Inj bulking agent anal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepagam b im injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1571","description":"Hepagam b im injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matrion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4201","description":"Matrion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ retifanlimab-dlwr_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9345","description":"Injection_ retifanlimab-dlwr_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0020","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Change of nephrostomy or pyelostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50398","description":"Change of nephrostomy or pyelostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sincalide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2805","description":"Sincalide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Folding ped wc tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1232","description":"Folding ped wc tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5247","description":"Hearing aid_ prog_ mon_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas no perf foot exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9502","description":"Med reas no perf foot exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC246","description":"HIPPS-LC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6721","description":"Crown resin w/base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0112","description":"Cranial cervical orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28I","description":"HIPPS-HE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove abdominal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38747","description":"Remove abdominal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28F","description":"HIPPS-HE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elliotts b solution per ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9175","description":"Elliotts b solution per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xii hageman","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85280","description":"Clot factor xii hageman","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Belatacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0485","description":"Belatacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10C","description":"HIPPS-PD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit periorbtl implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21390","description":"Opn tx orbit periorbtl implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0062U","description":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM3","description":"HIPPS-1BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2001","description":"HCPCS-A2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL55","description":"HIPPS-RVL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL50","description":"HIPPS-RVL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC212","description":"HIPPS-CC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC211","description":"HIPPS-LC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no scrn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9452","description":"Doc med reas no scrn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36147","description":"Access av dial grft for eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23A","description":"HIPPS-HE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ntiol category 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q1005","description":"Ntiol category 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMS","description":"HIPPS-4AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9948","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ercp sphincter pressure meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43263","description":"Ercp sphincter pressure meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0893","description":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement air bubble detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1530","description":"Replacement air bubble detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plas shoe insert w ank joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2180","description":"Plas shoe insert w ank joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96137","description":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"VitoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4317","description":"VitoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deliver placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59414","description":"Deliver placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6517","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6517","description":"HCPCS-A6517","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esano aca_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4275","description":"Esano aca_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy splenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38120","description":"Laparoscopy splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Betadine/iodine swabs/wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4247","description":"Betadine/iodine swabs/wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore abdominal vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35840","description":"Explore abdominal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Atropine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7636","description":"Atropine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22D","description":"HIPPS-LC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optic nerve head eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2027F","description":"Optic nerve head eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia & fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27709","description":"Incision of tibia & fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp recip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290T","description":"Laser inc for pkp/lkp recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5125","description":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22556","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB260","description":"HIPPS-BB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00400","description":"CPT-00400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human epididymis protein 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86305","description":"Human epididymis protein 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic training; under supervision of a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92066","description":"Orthoptic training; under supervision of a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33221","description":"Insert pulse gen mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cognit impairment assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3720F","description":"Cognit impairment assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cimetidine hydroc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0023","description":"Injection_ cimetidine hydroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 3-5 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87631","description":"Resp virus 3-5 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp obturator prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5936","description":"Temp obturator prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moisture exchanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4483","description":"Moisture exchanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Embedded ip cath exit-site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49436","description":"Embedded ip cath exit-site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intragastric hypothermia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0100","description":"Intragastric hypothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6024","description":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28113","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No qual card diag prior12mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1461F","description":"No qual card diag prior12mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81111","description":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Allergy immunology services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95199","description":"Allergy immunology services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External transmitter_ cgm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9277","description":"External transmitter_ cgm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 7-12 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22802","description":"Post fusion 7-12 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual cell count each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85032","description":"Manual cell count each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37788","description":"Revascularization penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2112","description":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11C","description":"HIPPS-LD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct bronchus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31775","description":"Reconstruct bronchus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0801","description":"HCPCS-C0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pm device interrogate remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93294","description":"Pm device interrogate remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 100-300","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88275","description":"Cytogenetics 100-300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8D","description":"HIPPS-RVA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4B","description":"HIPPS-RVC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vibrate quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107T","description":"Vibrate quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52500","description":"Revision of bladder neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9061","description":"Injection_ teprotumumab-trbw_10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86628","description":"Candida antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA40","description":"HIPPS-RMA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD114","description":"HIPPS-LD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00100","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00100","description":"CPT-00100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5661","description":"Multi-durometer symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0548","description":"HCPCS-G0548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15D","description":"HIPPS-CC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21A","description":"HIPPS-CA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Octreotide inj_ non-depot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2354","description":"Octreotide inj_ non-depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icatibant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1744","description":"Icatibant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bumetanide 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0171","description":"Bumetanide 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4030F","description":"Oxygen therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cst hgh nble mtl inlay >=3sr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6603","description":"Cst hgh nble mtl inlay >=3sr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0477T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33984","description":"Ecmo/ecls rmvl prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anterior asis pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1250","description":"Anterior asis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35092","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flexible keel foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5972","description":"Flexible keel foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2C","description":"HIPPS-RLA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32442","description":"Sleeve pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt no tx sys bio rx 6 mths","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9653","description":"Pt no tx sys bio rx 6 mths","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8B","description":"HIPPS-RMC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert idrl bdy thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63306","description":"Remov vert idrl bdy thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant breast silicone/eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8600","description":"Implant breast silicone/eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of biceps tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24340","description":"Repair of biceps tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9988","description":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84295","description":"Assay of serum sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sing fre stirr thi/calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2000","description":"Kafo sing fre stirr thi/calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50570","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intl custm cong/latyp insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5681","description":"Intl custm cong/latyp insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cardiac electrophys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53751","description":"Anesth cardiac electrophys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/treat lung lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32141","description":"Remove/treat lung lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24940","description":"Revision of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not achieve flat retinas six months post surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9379","description":"Patient did not achieve flat retinas six months post surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0431","description":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77771","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0303","description":"HCPCS-B0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine reagent strips/tablets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4250","description":"Urine reagent strips/tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE226","description":"HIPPS-HE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC30","description":"HIPPS-RVC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81106","description":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Automatic bp monitor_ dial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4670","description":"Automatic bp monitor_ dial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Respite not-in-home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0045","description":"Respite not-in-home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27200","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med docrsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9210","description":"No hepc rna after med docrsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD217","description":"HIPPS-HD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18B","description":"HIPPS-LE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72141","description":"MRI neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54380","description":"Repair penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ home monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9006","description":"Mccd_ home monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vis inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9628","description":"Vis inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC224","description":"HIPPS-HC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4377","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4377","description":"HCPCS-Q4377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7368","description":"Lithium ion battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 9-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88188","description":"Flowcytometry/read 9-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1251","description":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22B","description":"HIPPS-HC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28820","description":"Amputation of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66999","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comm trans waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2038","description":"Comm trans waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD121","description":"HIPPS-LD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert idrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63305","description":"Remove vert idrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8D","description":"HIPPS-RML8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Performance Not Met: The Residual Change Score Is Less Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2167","description":"Performance Not Met: The Residual Change Score Is Less Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL2","description":"HIPPS-1BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44403","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB135","description":"HIPPS-CB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLW","description":"HIPPS-4BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMV","description":"HIPPS-3CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5260","description":"Hearing aid_ digit_ bin_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0B","description":"HIPPS-RVC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj calcitriol per 0.1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0636","description":"Inj calcitriol per 0.1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77402","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ durvalumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9173","description":"Injection_ durvalumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27256","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4226","description":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c >/= 130 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3050F","description":"Ldl-c >/= 130 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9905","description":"Patient not screened for tobacco use_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76516","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35005","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5071","description":"Urinary pouch w/barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture type immunologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87147","description":"Culture type immunologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls initiation venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33946","description":"Ecmo/ecls initiation venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61541","description":"Incision of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4D","description":"HIPPS-RVA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL32","description":"HIPPS-RUL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aneurysm press sensor add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34806","description":"Aneurysm press sensor add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0664U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0664U","description":"CPT-0664U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64600","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth facial bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19251","description":"Anesth facial bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Brain canal shunt procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61070","description":"Brain canal shunt procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4396","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4396","description":"HCPCS-Q4396","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj w/fluor eval cv device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36598","description":"Inj w/fluor eval cv device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86971","description":"Rbc pretx incubatj w/enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN5","description":"HIPPS-3AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levofloxacin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1956","description":"Levofloxacin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9607","description":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX10","description":"HIPPS-RVX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK5","description":"HIPPS-2BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1032T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1032T","description":"CPT-1032T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97001","description":"Pt evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies w/o pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4223","description":"Infusion supplies w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release forearm/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26449","description":"Release forearm/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLS","description":"HIPPS-4BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45300","description":"Proctosigmoidoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Matristem burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4120","description":"Matristem burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23B","description":"HIPPS-LB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC26","description":"HIPPS-RUC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15B","description":"HIPPS-BB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone length studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77073","description":"X-rays bone length studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ent procedure/service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92700","description":"Ent procedure/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1413","description":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA155","description":"HIPPS-PA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8653","description":"Fun stat score hip pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep corneal endo allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65757","description":"Prep corneal endo allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abduction bar-straight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2310","description":"Abduction bar-straight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate_ nasal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0012","description":"Butorphanol tartrate_ nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary rubber pouch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4380","description":"Urinary rubber pouch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34D","description":"HIPPS-ES34D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xiii fibrin stab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85290","description":"Clot factor xiii fibrin stab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11621","description":"Exc s/n/h/f/g mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD126","description":"HIPPS-LD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29823","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"7 field photo interp doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2024F","description":"7 field photo interp doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81259","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61000","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ clevidipine butyrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9248","description":"Inj_ clevidipine butyrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00640","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00640","description":"CPT-00640","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29844","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5877","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5877","description":"CDT-D5877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77605","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain open retroperi abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49060","description":"Drain open retroperi abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA226","description":"HIPPS-BA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6066","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5258","description":"Hearing aid_ digit_ bin_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8F","description":"HIPPS-RVL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; removal_ each balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550T","description":"Transperineal periurethral balloon continence device; removal_ each balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pos macroalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3062F","description":"Pos macroalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj pls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409T","description":"Insj/rplc cardiac modulj pls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97167","description":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7331","description":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression glove_ custom_ heavy weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6580","description":"Gradient compression glove_ custom_ heavy weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43605","description":"Biopsy of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01638","description":"CPT-01638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62190","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23065","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1012T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1012T","description":"CPT-1012T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43611","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntr interr eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306T","description":"Icar ischm mntr interr eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove limb nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64782","description":"Remove limb nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML20","description":"HIPPS-RML20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27825","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0655T","description":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33859","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86036","description":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0688T","description":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1C","description":"HIPPS-RUL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t1-2 no progr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9090","description":"Onc dx rectal t1-2 no progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18I","description":"HIPPS-PB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28I","description":"HIPPS-PA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK5","description":"HIPPS-5AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest femoropopliteal vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35572","description":"Harvest femoropopliteal vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM6","description":"HIPPS-1AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr knee disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5706","description":"Custom shape cvr knee disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Peg interferon alfa-2b/10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0148","description":"Peg interferon alfa-2b/10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Install spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63740","description":"Install spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNS","description":"HIPPS-3AHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Application of shoulder cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29058","description":"Application of shoulder cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dentures immediat mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5140","description":"Dentures immediat mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB220","description":"HIPPS-LB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8765","description":"Cataract mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14B","description":"HIPPS-HC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray/ct/ultrsnd et al ord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3319F","description":"X-ray/ct/ultrsnd et al ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital observation per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0378","description":"Hospital observation per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49429","description":"Removal of shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1399","description":"HCPCS-M1399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4D","description":"HIPPS-RUX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78831","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70010","description":"Contrast x-ray of brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0711","description":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/addl implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52442","description":"Cystourethro w/addl implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68135","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist/elbow bowden cbl dir f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6582","description":"Wrist/elbow bowden cbl dir f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0737","description":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0547","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0547","description":"HCPCS-G0547","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4025","description":"Cast sup hip spica plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0270","description":"Alprostadil for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fomepizole_ 15 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1451","description":"Fomepizole_ 15 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25A","description":"HIPPS-LE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81523","description":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ballistocardiogram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3902","description":"Ballistocardiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22A","description":"HIPPS-CA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophgl motil w/stim/perfus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91013","description":"Esophgl motil w/stim/perfus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0491","description":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4343","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4343","description":"HCPCS-Q4343","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNV","description":"HIPPS-3AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0577","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0577","description":"HCPCS-G0577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33852","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace cover w/c seat cush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2619","description":"Replace cover w/c seat cush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30420","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM6","description":"HIPPS-2AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4042","description":"Cast sup lng leg splnt fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPS","description":"HIPPS-3AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0661U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0661U","description":"CPT-0661U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0904","description":"HCPCS-A0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE212","description":"HIPPS-HE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Behind ear binaur hearing ai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5140","description":"Behind ear binaur hearing ai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69601","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC220","description":"HIPPS-PC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23530","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts tapered to one-ha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3332","description":"Shoe lifts tapered to one-ha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coping","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2975","description":"Coping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thumb fusion with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26842","description":"Thumb fusion with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No reas_ no ret or w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9515","description":"No reas_ no ret or w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osseous surgl-3teethperquad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4261","description":"Osseous surgl-3teethperquad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg >8min <=20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2502","description":"Sgd prerec msg >8min <=20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP1","description":"HIPPS-1CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psysoc rehab svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2018","description":"Psysoc rehab svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18F","description":"HIPPS-CA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9064","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj subclav carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35694","description":"Art trnsposj subclav carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE150","description":"HIPPS-LE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0063U","description":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Natalizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2323","description":"Natalizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0686U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0686U","description":"CPT-0686U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 1 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34841","description":"Endovasc visc aorta 1 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14B","description":"HIPPS-ES14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antibio rx w in 10d of sympt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9286","description":"Antibio rx w in 10d of sympt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rsv mab im 50mg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90378","description":"Rsv mab im 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18A","description":"HIPPS-BA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate conc sol per gal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4706","description":"Bicarbonate conc sol per gal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40% or dep lv sys fcn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8934","description":"Lvef <40% or dep lv sys fcn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37279","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37279","description":"CPT-37279","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4B","description":"HIPPS-RVL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70300","description":"X-ray exam of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1598","description":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med txmnt options rvwd w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4325F","description":"Med txmnt options rvwd w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr hip disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5707","description":"Custom shape cvr hip disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33971","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte histamine release","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86343","description":"Leukocyte histamine release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 1.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5560","description":"Insulin reuse pen 1.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lvef not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8396","description":"Lvef not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6235","description":"Hydrocolld drg >16<=48 w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/repair hearing aid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69711","description":"Remove/repair hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0633U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0633U","description":"CPT-0633U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64836","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R hrt art/grft angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93457","description":"R hrt art/grft angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert multi-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54405","description":"Insert multi-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28G","description":"HIPPS-LB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8B","description":"HIPPS-RLB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21A","description":"HIPPS-CE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"PROTON THERAPY","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77524","description":"PROTON THERAPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81425","description":"Genome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNT","description":"HIPPS-3BFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj benztropine mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0515","description":"Inj benztropine mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver queried falls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6080F","description":"Pt/caregiver queried falls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA20","description":"HIPPS-AAA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tumors open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0601T","description":"Ire abltj 1+tumors open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Family homecare training 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5110","description":"Family homecare training 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60521","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7612","description":"Levalbuterol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41113","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17272","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toe joint transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26556","description":"Toe joint transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA31","description":"HIPPS-RLA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Als 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0426","description":"Als 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mesentery lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44820","description":"Excision of mesentery lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8X","description":"HIPPS-RUC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES250","description":"HIPPS-ES250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4B","description":"HIPPS-RHA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27454","description":"Realignment of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation gum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4995","description":"Smoking cessation gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler flow testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93990","description":"Doppler flow testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268T","description":"Implt/rpl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clonidine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0735","description":"Clonidine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0079","description":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL20","description":"HIPPS-RHL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5D","description":"HIPPS-RMA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4054F","description":"Hemodialysis via catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ref to outpt card rehab prog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4500F","description":"Ref to outpt card rehab prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42410","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0722T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opps/php; train & educ serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0177","description":"Opps/php; train & educ serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45390","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM1","description":"HIPPS-3CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ secukinumab_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3247","description":"Injection_ secukinumab_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26517","description":"Fusion of knuckle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56752","description":"Anesth cabg w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical splint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5988","description":"Surgical splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0634T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6011","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414U","description":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC136","description":"HIPPS-HC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace prox & dist upright","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4070","description":"Replace prox & dist upright","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx w/fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21346","description":"Opn tx nasomax fx w/fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2154","description":"Patient Received At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKU","description":"HIPPS-2CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3D","description":"HIPPS-RVX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1438","description":"HCPCS-M1438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLS","description":"HIPPS-2CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33B","description":"HIPPS-ES33B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14D","description":"HIPPS-LC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64657","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64657","description":"CPT-64657","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mobility current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8978","description":"Mobility current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX45","description":"HIPPS-RHX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25931","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ pheresis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9034","description":"Platelets_ pheresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received chemotherapy in the last 14 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9847","description":"Patient received chemotherapy in the last 14 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g._ prior anaphylaxis due to the pneumococcal vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1178","description":"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g._ prior anaphylaxis due to the pneumococcal vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12D","description":"HIPPS-PC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc harness_ expand control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2313","description":"Pwc harness_ expand control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005F","description":"Osteoarthritis composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor lung double","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32856","description":"Prepare donor lung double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Drug-Eluting Implant_ Including Punctal Dilation When Performed_ Into Lacrimal Canaliculus_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68841","description":"Insertion Of Drug-Eluting Implant_ Including Punctal Dilation When Performed_ Into Lacrimal Canaliculus_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Na ferric gluconate complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2916","description":"Na ferric gluconate complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ lyophilized_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9319","description":"Injection_ romidepsin_ lyophilized_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii phenotype qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86831","description":"Hla class ii phenotype qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE214","description":"HIPPS-PE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"JK GNOTYP SLC14A1 EXON 9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0192U","description":"JK GNOTYP SLC14A1 EXON 9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ho w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3919","description":"Ho w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg <=16 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6251","description":"Absorpt drg <=16 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit corticosteroid/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9490","description":"Hit corticosteroid/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0926T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0926T","description":"CPT-0926T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1034T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1034T","description":"CPT-1034T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0037U","description":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD130","description":"HIPPS-PD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc no comp or mort w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9269","description":"Doc no comp or mort w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKU","description":"HIPPS-5BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 2 veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35682","description":"Composite byp grft 2 veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 9-10 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98929","description":"Osteopath manj 9-10 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dsg>16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6232","description":"Hydrogel dsg>16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLX","description":"HIPPS-4CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0653U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0653U","description":"CPT-0653U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1491F","description":"Dem severity classified mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Torsion ank & half solid sti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2375","description":"Torsion ank & half solid sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31649","description":"Bronchial valve remov addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8720","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8720","description":"HCPCS-L8720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA55","description":"HIPPS-RVA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9282","description":"Doc medrsn no histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain bladder by needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51100","description":"Drain bladder by needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Melan follow-up complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015F","description":"Melan follow-up complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient has a reactive hcv antibody test_ and has a follow up hcv viral test that does not detect hcv viremia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1234","description":"Patient has a reactive hcv antibody test_ and has a follow up hcv viral test that does not detect hcv viremia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK4","description":"HIPPS-3CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES251","description":"HIPPS-ES251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX35","description":"HIPPS-RLX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood thaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86931","description":"Frozen blood thaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ CROS_ in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5170","description":"Hearing aid_ CROS_ in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Who Use Palliative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9995","description":"Patients Who Use Palliative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA44","description":"HIPPS-AAA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1447","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1447","description":"HCPCS-M1447","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21247","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18H","description":"HIPPS-HB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4419","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4419","description":"HCPCS-Q4419","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69706","description":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0817T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL30","description":"HIPPS-RVL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24149","description":"Radical resection of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB205","description":"HIPPS-BB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35051","description":"Anesth neck vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upgrade of pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33214","description":"Upgrade of pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL6","description":"HIPPS-1BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0561T","description":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMX","description":"HIPPS-3AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Sulfur Hexafouride Lipid Microsphere Per Ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9457","description":"Injection Sulfur Hexafouride Lipid Microsphere Per Ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ag detection polyval if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87300","description":"Ag detection polyval if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Membrane graft or membrane wrap_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4205","description":"Membrane graft or membrane wrap_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyto/molecular report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88291","description":"Cyto/molecular report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (fiasp) for administration through dme (i.e._ insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1811","description":"Insulin (fiasp) for administration through dme (i.e._ insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407U","description":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 11-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99447","description":"Interprof phone/online 11-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient received any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9723","description":"Hospice services for patient received any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64467","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64467","description":"CPT-64467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/revise vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58275","description":"Hysterectomy/revise vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection into brain canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61026","description":"Injection into brain canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA240","description":"HIPPS-PA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microprcsr cu elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0481","description":"Microprcsr cu elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP5","description":"HIPPS-3CGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4B","description":"HIPPS-RVB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Locm 300-399mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9967","description":"Locm 300-399mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81190","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; parenchyma (eg_ organ)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76981","description":"Ultrasound_ elastography; parenchyma (eg_ organ)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neuro non-recharg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1767","description":"Generator_ neuro non-recharg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/chemicl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86970","description":"Rbc pretx incubatj w/chemicl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lepirudin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1945","description":"Lepirudin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ny heart assoc class docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3118F","description":"Ny heart assoc class docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No elig ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8857","description":"No elig ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 5-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99383","description":"Prev visit new age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy lower leg soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27613","description":"Biopsy lower leg soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue Transglutaminase_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86364","description":"Tissue Transglutaminase_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL06","description":"HIPPS-RVL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo pn/gastr stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64590","description":"Insrt/redo pn/gastr stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX31","description":"HIPPS-RLX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29820","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0501","description":"HCPCS-B0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50541","description":"Laparo ablate renal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Upper ext fx orthosis wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3984","description":"Upper ext fx orthosis wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67208","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPU","description":"HIPPS-3CFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Development of cognitive skills to improve attention_ memory_ problem solving (includes compensatory training)_ direct (one-on-one) patient contact_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0515","description":"Development of cognitive skills to improve attention_ memory_ problem solving (includes compensatory training)_ direct (one-on-one) patient contact_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair semi-recl detach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1110","description":"Wheelchair semi-recl detach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair urethrovaginal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57310","description":"Repair urethrovaginal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas ext transmitter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1036","description":"Art pancreas ext transmitter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27429","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98016","description":"CPT-98016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel new rubber standar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3460","description":"Shoe heel new rubber standar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50660","description":"Removal of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20A","description":"HIPPS-PB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0659T","description":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Functional outcome assessment not documented as being performed_ documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8540","description":"Functional outcome assessment not documented as being performed_ documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4D","description":"HIPPS-RVX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth anorectal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90251","description":"Anesth anorectal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had A Prior Influenza Virus Vaccine Adverse Reaction Any Time Before Or During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2164","description":"Patient Had A Prior Influenza Virus Vaccine Adverse Reaction Any Time Before Or During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25A","description":"HIPPS-HD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate swallowing function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92610","description":"Evaluate swallowing function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tantalum ring application","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8030","description":"Tantalum ring application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation Factor Xa (recombinant)_ inactivated-zhzo (Andexxa)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7169","description":"Injection_ coagulation Factor Xa (recombinant)_ inactivated-zhzo (Andexxa)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crutch and cane holder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2207","description":"Crutch and cane holder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6029","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6029","description":"HCPCS-L6029","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51580","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22D","description":"HIPPS-HD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18I","description":"HIPPS-HB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE125","description":"HIPPS-LE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86870","description":"Rbc antibody identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gi tract capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91110","description":"Gi tract capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of midfoot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28800","description":"Amputation of midfoot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1370","description":"HCPCS-J1370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43810","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had documentation of use of anticoagulant medications overlapping the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9724","description":"Patients who had documentation of use of anticoagulant medications overlapping the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28308","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0101","description":"CDT-D0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74280","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulse gen sys tx endolymp fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2120","description":"Pulse gen sys tx endolymp fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9198","description":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation services_ additional 30 minutes per calendar month (list separately in addition to g0023)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0024","description":"Principal illness navigation services_ additional 30 minutes per calendar month (list separately in addition to g0023)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72158","description":"MRI lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Td vacc no presv 7 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90714","description":"Td vacc no presv 7 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC201","description":"HIPPS-PC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MLG-Complete_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4256","description":"MLG-Complete_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD216","description":"HIPPS-HD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46761","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1069T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1069T","description":"CPT-1069T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu valve-pmp rplcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0597T","description":"Temp fml iu valve-pmp rplcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6005","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7604","description":"Acetylcysteine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sgmdsc w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45350","description":"Sgmdsc w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Verify pt site pxd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6100F","description":"Verify pt site pxd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363U","description":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor lobectomy (lung)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2061","description":"Donor lobectomy (lung)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9942","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Above knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5648","description":"Above knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4438","description":"HCPCS-Q4438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/deb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29906","description":"Subtalar arthro w/deb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC21","description":"HIPPS-RHC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Spirom fev/fvc>/=70%/w/ocopd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3027F","description":"Spirom fev/fvc>/=70%/w/ocopd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLU","description":"HIPPS-4AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMU","description":"HIPPS-4BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0407","description":"HCPCS-A0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pre-hypertensive or hypertensive blood pressure reading documented_ indicated follow-up not documented_ Patient not eligible/ not appropriate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8951","description":"Pre-hypertensive or hypertensive blood pressure reading documented_ indicated follow-up not documented_ Patient not eligible/ not appropriate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"O2 flow reg pos inspir press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1352","description":"O2 flow reg pos inspir press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76497","description":"Ct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim unattend for press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0281","description":"Elec stim unattend for press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9351","description":"Topotecan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15272","description":"Skin sub graft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enema tube_ any type_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1013","description":"Enema tube_ any type_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Placement of seton","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46020","description":"Placement of seton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0697T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKV","description":"HIPPS-3CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reaching/grabbing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9281","description":"Reaching/grabbing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Restraints any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0710","description":"Restraints any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC216","description":"HIPPS-CC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic ring fx treat int fix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0414","description":"Pelvic ring fx treat int fix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ocular dev_ intraop_ det ret","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1784","description":"Ocular dev_ intraop_ det ret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0966T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0966T","description":"CPT-0966T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99282","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM5","description":"HIPPS-1AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB10","description":"HIPPS-RUB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6097","description":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt info into recall system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7010F","description":"Pt info into recall system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0403","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0403","description":"CDT-D0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1407","description":"HCPCS-M1407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17280","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic intern lock elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6350","description":"Thoracic intern lock elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26496","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 5-10 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99421","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 5-10 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenosine inj 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0153","description":"Adenosine inj 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amb infusion pump mechanical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0779","description":"Amb infusion pump mechanical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67420","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21C","description":"HIPPS-HE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/in 2yr dxa not order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9471","description":"W/in 2yr dxa not order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0651T","description":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6031","description":"Benzodiazepines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove kidney open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50220","description":"Remove kidney open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA50","description":"HIPPS-RUA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2177","description":"Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color ea 20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11922","description":"Correct skin color ea 20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Determines Patient Does Not Require Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0038","description":"Clinician Determines Patient Does Not Require Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tsi globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84445","description":"Assay of tsi globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55707","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55707","description":"CPT-55707","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97034","description":"Contrast bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not consid poss risk fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3573F","description":"Pt not consid poss risk fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-rays for bone age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77072","description":"X-rays for bone age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0683T","description":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01682","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01682","description":"CPT-01682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1023","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82247","description":"Bilirubin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15D","description":"HIPPS-PD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKS","description":"HIPPS-1AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift for pt furn-electr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0628","description":"Seat lift for pt furn-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72156","description":"MRI neck spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK2","description":"HIPPS-3AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0D","description":"HIPPS-RVX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Bilateral Study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93985","description":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Bilateral Study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKU","description":"HIPPS-4CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24370","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD125","description":"HIPPS-LD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lith ion non prosth recharge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4601","description":"Lith ion non prosth recharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit mech ventilator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99504","description":"Home visit mech ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM1","description":"HIPPS-3BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26600","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11A","description":"HIPPS-HB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP11","description":"HIPPS-ATP11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE115","description":"HIPPS-HE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90695","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90695","description":"CPT-90695","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0139","description":"HCPCS-J0139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00562","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00562","description":"CPT-00562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip socket fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27220","description":"Treat hip socket fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Genitourinary nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78799","description":"Genitourinary nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20D","description":"HIPPS-BB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam/biopsy of vag w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57421","description":"Exam/biopsy of vag w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP4","description":"HIPPS-3BHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ziconotide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2278","description":"Ziconotide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst base mtl 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6612","description":"Onlay cst base mtl 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove blood clot from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65930","description":"Remove blood clot from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80344","description":"Antipsychotics nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pathology lab procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89240","description":"Pathology lab procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP09","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP09","description":"HIPPS-ATP09","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient received active chemotherapy any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1156","description":"Patient received active chemotherapy any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0546T","description":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38724","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom gradient sleev/glov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8420","description":"Custom gradient sleev/glov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB53","description":"HIPPS-RLB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ polycentric_ pneumatic swing_ and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5841","description":"Addition_ endoskeletal knee-shin system_ polycentric_ pneumatic swing_ and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect & appl blood product","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7921","description":"Collect & appl blood product","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; thin layer_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82489","description":"Chromatography_ qualitative; thin layer_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microdissection laser","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88380","description":"Microdissection laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29874","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0305","description":"HCPCS-A0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN5","description":"HIPPS-3BFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0673U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0673U","description":"CPT-0673U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis adsorp/reinfuse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36515","description":"Apheresis adsorp/reinfuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0781T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0885T","description":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5D","description":"HIPPS-RUB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30400","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL4","description":"HIPPS-2AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB241","description":"HIPPS-BB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ single chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1722","description":"Aicd_ single chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cstm manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0008","description":"Cstm manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cisplatin 10 mg injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9060","description":"Cisplatin 10 mg injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB104","description":"HIPPS-HB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 9-10 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95911","description":"Nrv cndj test 9-10 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1B","description":"HIPPS-RVC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10B","description":"HIPPS-HB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK6","description":"HIPPS-2CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"General health panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80050","description":"General health panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bleomycin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9040","description":"Bleomycin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture partial mandib","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5866","description":"Overdenture partial mandib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amino acid single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82127","description":"Amino acid single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0088U","description":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing patient serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86904","description":"Blood typing patient serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6532","description":"Compression stocking bk40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without contrast material; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77046","description":"Magnetic resonance imaging_ breast_ without contrast material; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLT","description":"HIPPS-3BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bcg vaccine intravesical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90586","description":"Bcg vaccine intravesical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chloroquine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0390","description":"Chloroquine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNW","description":"HIPPS-1CHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC105","description":"HIPPS-PC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactate (ld) (ldh) enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83615","description":"Lactate (ld) (ldh) enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"D/c hemo or perit dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9523","description":"D/c hemo or perit dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1111T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1111T","description":"CPT-1111T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97550","description":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of abdominal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27100","description":"Transfer of abdominal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55715","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55715","description":"CPT-55715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23B","description":"HIPPS-PD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Collect & prep saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0417","description":"Collect & prep saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0046U","description":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"High mount flip-up footrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0037","description":"High mount flip-up footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26518","description":"Fusion of knuckle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1713","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK1","description":"HIPPS-5AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-awwb_ biosimilar_ (Mvasi)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5107","description":"Injection_ bevacizumab-awwb_ biosimilar_ (Mvasi)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8856","description":"Ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0565U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0565U","description":"CPT-0565U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25A","description":"HIPPS-HE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Es sph augmnt device removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393T","description":"Es sph augmnt device removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61860","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE220","description":"HIPPS-LE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9309","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9309","description":"HCPCS-C9309","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc w/stent add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37223","description":"Iliac revasc w/stent add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69209","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC155","description":"HIPPS-LC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/3-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34803","description":"Endovas aaa repr w/3-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93242","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin >500 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96922","description":"Laser tx skin >500 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mlc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87187","description":"Microbe susceptible mlc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0801","description":"HCPCS-A0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screening not provided_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9925","description":"Safety concerns screening not provided_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonneedle injection device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4210","description":"Nonneedle injection device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC124","description":"HIPPS-PC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1C","description":"HIPPS-RVX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41140","description":"Removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy w/oper scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31526","description":"Dx laryngoscopy w/oper scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0180","description":"Dolasetron mesylate oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a chlamydia screening test with proper follow-up","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9820","description":"Documentation of a chlamydia screening test with proper follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54240","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43610","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0681T","description":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contour cranial bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21181","description":"Contour cranial bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for vulva lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56440","description":"Surgery for vulva lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55868","description":"CPT-55868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comp comm supp svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2016","description":"Comp comm supp svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13C","description":"HIPPS-PC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory surgical boot eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3260","description":"Ambulatory surgical boot eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and radiotracer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52250","description":"Cystoscopy and radiotracer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ue triple control harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6677","description":"Ue triple control harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE212","description":"HIPPS-CE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58559","description":"Hysteroscopy lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versitiā¢ VWD Type 2B Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283U","description":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versitiā¢ VWD Type 2B Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bundle of his recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93600","description":"Bundle of his recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abdomen surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49999","description":"Abdomen surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with stress im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9763","description":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with stress im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as an unhealthy alcohol user received brief counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2200","description":"Patient identified as an unhealthy alcohol user received brief counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2217","description":"Foam filled caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhere pos air press therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8851","description":"Adhere pos air press therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0860T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27824","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6505","description":"Cmprsburngarment glove-elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate liver tumor rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47370","description":"Laparo ablate liver tumor rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15830","description":"Exc skin abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42835","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017M","description":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent BP is greater than 140/90 mm Hg_ or blood pressure not documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9790","description":"Most recent BP is greater than 140/90 mm Hg_ or blood pressure not documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asthma symptoms evaluate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1005F","description":"Asthma symptoms evaluate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea scrnd mod-high dysp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3451F","description":"Dyspnea scrnd mod-high dysp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vestronidase alfa-vjbk_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3397","description":"Injection_ vestronidase alfa-vjbk_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr extnd =4sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4411","description":"Ost skn barr extnd =4sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63199","description":"Incise spin&cord 2 stgs thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35207","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1001","description":"Deluxe item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg/ankle surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27899","description":"Leg/ankle surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24586","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLW","description":"HIPPS-1AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg <=16 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6212","description":"Foam drg <=16 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB211","description":"HIPPS-HB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES125","description":"HIPPS-ES125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate mets no cast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9132","description":"Onc dx prostate mets no cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auto interm peritoneal dialy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1592","description":"Auto interm peritoneal dialy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doxorubicin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9000","description":"Doxorubicin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1938","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1938","description":"HCPCS-J1938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25D","description":"HIPPS-LD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician standby services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99360","description":"Physician standby services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion radioulnar jnt/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25830","description":"Fusion radioulnar jnt/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up/reassessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0316","description":"Follow-up/reassessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLU","description":"HIPPS-3CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA15","description":"HIPPS-RMA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport lodgng escrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0200","description":"Noner transport lodgng escrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whchr h-duty det arm leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1280","description":"Whchr h-duty det arm leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27265","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21B","description":"HIPPS-CC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp pop-tibl-prl-other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35571","description":"Art byp pop-tibl-prl-other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj tst 5-6 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95909","description":"Nrv cndj tst 5-6 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4013","description":"Cast sup gauntlet plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9063","description":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61607","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8499","description":"Ra meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0D","description":"HIPPS-RML0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger jnt add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26861","description":"Fusion of finger jnt add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy_ debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy_ debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP5","description":"HIPPS-1CGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD231","description":"HIPPS-CD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo physician","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9153","description":"Mapcp demo physician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Curette/treat cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65435","description":"Curette/treat cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint - extra-coronal; natural teeth or prosthetic crowns","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4323","description":"Splint - extra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair middle ear structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69666","description":"Repair middle ear structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies)_ qualitative or semiquantitative_ single-step method (eg_ reagent strip);","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86318","description":"Immunoassay for infectious agent antibody(ies)_ qualitative or semiquantitative_ single-step method (eg_ reagent strip);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA32","description":"HIPPS-RVA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluzone vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2038","description":"Fluzone vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct compd maxilla fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7720","description":"Clsd reduct compd maxilla fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Plaelet rich plasma unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9020","description":"Plaelet rich plasma unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0C","description":"HIPPS-RUX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood type antigen donor ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86902","description":"Blood type antigen donor ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb laminated socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5540","description":"Prep bk ptb laminated socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker folding adjust/fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0135","description":"Walker folding adjust/fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL3","description":"HIPPS-4BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tension ring_ vac erect dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7902","description":"Tension ring_ vac erect dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove tonsils and adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42820","description":"Remove tonsils and adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic type socket molde","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2350","description":"Prosthetic type socket molde","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53665","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bridge repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6980","description":"Bridge repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud rehab pre-ling hear loss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92630","description":"Aud rehab pre-ling hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64865","description":"Repair of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44125","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35082","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0505U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0505U","description":"CPT-0505U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLT","description":"HIPPS-2CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy chemodenervation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52287","description":"Cystoscopy chemodenervation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cases in which an inhalational anesthetic is used only for induction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9955","description":"Cases in which an inhalational anesthetic is used only for induction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB14","description":"HIPPS-RMB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cover ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5705","description":"Custom shape cover ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyoscyamine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1980","description":"Hyoscyamine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55051","description":"Anesth sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24802","description":"Fusion/graft of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1022","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB144","description":"HIPPS-PB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX30","description":"HIPPS-RLX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPU","description":"HIPPS-3CHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33858","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Deep muscle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20205","description":"Deep muscle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93241","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0977T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0977T","description":"CPT-0977T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4421","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4421","description":"HCPCS-Q4421","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44970","description":"Laparoscopy appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99437","description":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Percussor elect/pneum home m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0480","description":"Percussor elect/pneum home m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ microarray gene expression profiling of 70 content genes and 465 housekeeping genes_ utilizing fresh frozen or formalin-fixed paraffin-embedded tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81521","description":"Oncology (breast)_ mRNA_ microarray gene expression profiling of 70 content genes and 465 housekeeping genes_ utilizing fresh frozen or formalin-fixed paraffin-embedded tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44345","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 52-73 gm prot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4193","description":"Parenteral sol 52-73 gm prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0892","description":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87534","description":"Hiv-1 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rilonacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2793","description":"Rilonacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of skull seams","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61552","description":"Release of skull seams","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20902","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD117","description":"HIPPS-PD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81513","description":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20C","description":"HIPPS-HE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK1","description":"HIPPS-2CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lovotibeglogene autotemcel_ per treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3394","description":"Injection_ lovotibeglogene autotemcel_ per treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care age 2-5 init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99475","description":"Ped crit care age 2-5 init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocerv curettage w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57456","description":"Endocerv curettage w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system gas portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0430","description":"Oxygen system gas portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00625","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00625","description":"CPT-00625","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA113","description":"HIPPS-BA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sumatriptan succinate / 6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3030","description":"Sumatriptan succinate / 6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies)_ qualitative or semi-quantitative_ single step method (eg. reagent strip); severe acute respiratory system coronavirus 2 (SARS C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86328","description":"Immunoassay for infectious agent antibody(ies)_ qualitative or semi-quantitative_ single step method (eg. reagent strip); severe acute respiratory system coronavirus 2 (SARS C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28H","description":"HIPPS-LD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c 100-129 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3049F","description":"Ldl-c 100-129 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0237","description":"HCPCS-M0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1102","description":"HCPCS-A1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB32","description":"HIPPS-RMB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44661","description":"Repair bowel-bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP6","description":"HIPPS-3BGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67299","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35206","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1B","description":"HIPPS-RUA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0206","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL6","description":"HIPPS-2AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7512","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9218","description":"Leuprolide acetate injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ adalimumab-afzb (abrilada)_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5132","description":"Injection_ adalimumab-afzb (abrilada)_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3355","description":"Pulpal regeneration initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9805","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01636","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01636","description":"CPT-01636","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar or lumbar rib pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1040","description":"Lumbar or lumbar rib pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul revise","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284T","description":"Periph field stimul revise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 300 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5566","description":"Insulin cartridge 300 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72157","description":"MRI chest spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fetal chrmoml aneuploidy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81420","description":"Fetal chrmoml aneuploidy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0435","description":"Fixed wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21423","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impltj ntrstrml crnl rng seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65785","description":"Impltj ntrstrml crnl rng seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC13","description":"HIPPS-RUC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91321","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN5","description":"HIPPS-1CGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1705","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1705","description":"CDT-D1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436T","description":"Prgrmg eval npgs apnea study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD155","description":"HIPPS-HD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alysishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88369","description":"M/phmtrc alysishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24675","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab and hyaluronidase_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9467","description":"Injection_ rituximab and hyaluronidase_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sisi hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92564","description":"Sisi hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rep dev_ urinary_ w/sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1771","description":"Rep dev_ urinary_ w/sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL42","description":"HIPPS-RVL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast based metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6781","description":"Crown 3/4 cast based metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLU","description":"HIPPS-1CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM5","description":"HIPPS-3BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eculizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1300","description":"Eculizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Custom fab w/c back cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2617","description":"Custom fab w/c back cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7177","description":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent repair of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64872","description":"Subsequent repair of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL05","description":"HIPPS-RUL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1063T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1063T","description":"CPT-1063T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/tla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37228","description":"Tib/per revasc w/tla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37145","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cetirizine hydrochloride_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9057","description":"Injection_ cetirizine hydrochloride_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0900T","description":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5271","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0752T","description":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Disposable canister for pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7000","description":"Disposable canister for pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL14","description":"HIPPS-RHL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care prof when the vaccine(s) is not admin on the same date of service for ages under 21_ 16-30 min Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0313","description":"Imm counseling by a physician or other qualified health care prof when the vaccine(s) is not admin on the same date of service for ages under 21_ 16-30 min Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2C","description":"HIPPS-RHC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPS","description":"HIPPS-1AGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Medical supplies and equipme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9061","description":"Medical supplies and equipme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61640","description":"Dilate ic vasospasm init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX60","description":"HIPPS-RUX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth electroshock","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10451","description":"Anesth electroshock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB230","description":"HIPPS-CB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22854","description":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA234","description":"HIPPS-CA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN1","description":"HIPPS-1AHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91125","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91125","description":"CPT-91125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA05","description":"HIPPS-RUA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA60","description":"HIPPS-AAA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA02","description":"HIPPS-AAA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3299","description":"Injection_ triamcinolone acetonide (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cefepime hcl for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0692","description":"Cefepime hcl for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy_ in the home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9128","description":"Speech therapy_ in the home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE213","description":"HIPPS-LE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Initial 15 Minutes Of One-On-One Physician Or Other Qu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90912","description":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Initial 15 Minutes Of One-On-One Physician Or Other Qu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9312","description":"Injection_ rituximab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous carboxyhb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88740","description":"Transcutaneous carboxyhb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uvl md cabinet sys 6 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0694","description":"Uvl md cabinet sys 6 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17266","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost a/e ultlite mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7401","description":"Add ue prost a/e ultlite mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA141","description":"HIPPS-BA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent urinary cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4353","description":"Intermittent urinary cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31081","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95975","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0602","description":"HCPCS-B0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound therapy pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2402","description":"Neg press wound therapy pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin < 250 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96920","description":"Laser tx skin < 250 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLT","description":"HIPPS-1BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp common ipsi carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35601","description":"Art byp common ipsi carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM1","description":"HIPPS-2BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95165","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk imaging tst not ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3331F","description":"Bk imaging tst not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ADAMTS13_ recombinant-krhn_ 10 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7171","description":"Injection_ ADAMTS13_ recombinant-krhn_ 10 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Harvest allogeneic stem cell","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38205","description":"Harvest allogeneic stem cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0495","description":"Skilled services of a registered nurse (RN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6208","description":"Contact layer > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig les complicat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7415","description":"Excision malig les complicat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sotrovimab_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0247","description":"Injection_ sotrovimab_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt tobacco screen rcvd tlk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4004F","description":"Pt tobacco screen rcvd tlk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cefazolin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0690","description":"Cefazolin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33724","description":"Repair venous anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87260","description":"Adenovirus ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral mr contrast_ 100 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9954","description":"Oral mr contrast_ 100 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50575","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post-operative body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1310","description":"Post-operative body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD134","description":"HIPPS-PD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unresectab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9107","description":"Onc dx pancreatic unresectab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC115","description":"HIPPS-CC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0808","description":"Pov group 2 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53260","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reteplase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2993","description":"Reteplase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417T","description":"Prgrmg eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metered dose inhaler drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3535","description":"Metered dose inhaler drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc chro sin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9607","description":"Perc d-e cor revasc chro sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4014","description":"Nephrology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urinary bladder retention","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78730","description":"Urinary bladder retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8E","description":"HIPPS-RUA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB250","description":"HIPPS-BB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL2","description":"HIPPS-3CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES135","description":"HIPPS-ES135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA156","description":"HIPPS-PA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-axilary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35516","description":"Art byp grft subclav-axilary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus probe&revrs trns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87498","description":"Enterovirus probe&revrs trns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99157","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93016","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKS","description":"HIPPS-4BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation of abductor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2340","description":"Chemodenervation of abductor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Straight tip urine catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4351","description":"Straight tip urine catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/svc dme non-oxygen eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0739","description":"Repair/svc dme non-oxygen eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0540U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0540U","description":"CPT-0540U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD224","description":"HIPPS-CD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33257","description":"Ablate atria lmtd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5B","description":"HIPPS-RVL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Minor blunt trauma w/head ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9529","description":"Minor blunt trauma w/head ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb insulin delivery sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9274","description":"Ext amb insulin delivery sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81285","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl electrode for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0609","description":"Repl electrode for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts elevation heel /i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3334","description":"Shoe lifts elevation heel /i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28360","description":"Reconstruct cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK6","description":"HIPPS-3BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2A","description":"HIPPS-RMX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of neck cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42810","description":"Excision of neck cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27520","description":"Treat kneecap fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tx dental pain minor proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9110","description":"Tx dental pain minor proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cranial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64716","description":"Revision of cranial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76811","description":"Ob us detailed sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22D","description":"HIPPS-CC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alloderm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4116","description":"Alloderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Silicone gel insert or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6692","description":"Silicone gel insert or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26392","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert uteri tandem/ovoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57155","description":"Insert uteri tandem/ovoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct simpl maxilla fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7620","description":"Clsd reduct simpl maxilla fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab Intravenous Inj 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9989","description":"Ustekinumab Intravenous Inj 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bowel lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44111","description":"Excision of bowel lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10C","description":"HIPPS-PB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX43","description":"HIPPS-RUX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1449","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1449","description":"HCPCS-M1449","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 2 dose adolesc im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90743","description":"Hepb vacc 2 dose adolesc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte culture primed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86822","description":"Lymphocyte culture primed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 3 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5561","description":"Insulin reuse pen 3 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore neck vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35800","description":"Explore neck vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0607","description":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58960","description":"Exploration of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HER2-targeted therapies not administered during the initial course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9827","description":"HER2-targeted therapies not administered during the initial course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-specific kinase (MuSK) antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86366","description":"Muscle-specific kinase (MuSK) antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction maxilla total","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7946","description":"Reconstruction maxilla total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11422","description":"Exc h-f-nk-sp b9+marg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0407","description":"Inpt/tele follow up 25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ramucirumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9308","description":"Injection_ ramucirumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exercise w/hemodynamic meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93464","description":"Exercise w/hemodynamic meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revasc stnt & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37227","description":"Fem/popl revasc stnt & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01951","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01951","description":"CPT-01951","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57265","description":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB154","description":"HIPPS-BB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Special joystick handle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2323","description":"Special joystick handle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoskel knee-shin mnl lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5810","description":"Endoskel knee-shin mnl lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX26","description":"HIPPS-RUX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Duplicate/copy patient_s records","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9961","description":"Duplicate/copy patient_s records","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Carry current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8984","description":"Carry current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1462","description":"HCPCS-M1462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53601","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27437","description":"Revise kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262T","description":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zinc paste band w >=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6456","description":"Zinc paste band w >=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospice_ inpatient hospital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5005","description":"Hospice_ inpatient hospital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0778T","description":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bile acids cholylglycine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82240","description":"Bile acids cholylglycine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD126","description":"HIPPS-HD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2031","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2031","description":"HCPCS-A2031","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA60","description":"HIPPS-RLA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 3-4 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98926","description":"Osteopath manj 3-4 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1104T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1104T","description":"CPT-1104T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47561","description":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3D","description":"HIPPS-RUB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1244","description":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2146","description":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93315","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28I","description":"HIPPS-BB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75710","description":"Artery x-rays arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lungs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75743","description":"Artery x-rays lungs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC124","description":"HIPPS-LC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin non-laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1725","description":"Cath_ translumin non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit tocolysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9349","description":"Hit tocolysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0481T","description":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75820","description":"Vein x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9141","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24A","description":"HIPPS-HB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions 2 to 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11056","description":"Trim skin lesions 2 to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1241","description":"Patient did not respond to the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0511U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0511U","description":"CPT-0511U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8G","description":"HIPPS-RHL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59400","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4A","description":"HIPPS-RVX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA03","description":"HIPPS-RUA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD214","description":"HIPPS-LD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct bone density axial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77078","description":"Ct bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of heart lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93505","description":"Biopsy of heart lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc t cabg s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9604","description":"Perc d-e cor revasc t cabg s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iris Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1839","description":"Iris Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reposition intraocular lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66825","description":"Reposition intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74270","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD256","description":"HIPPS-LD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair infant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3212","description":"Benesch boot pair infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standing frame sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0638","description":"Standing frame sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac shunt imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78428","description":"Cardiac shunt imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of palm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26025","description":"Drainage of palm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stress tte complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93351","description":"Stress tte complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part maxil chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5740","description":"Denture reln part maxil chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9789","description":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair valve femoral vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34501","description":"Repair valve femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB52","description":"HIPPS-RVB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44100","description":"Biopsy of bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10006","description":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult foster care per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5141","description":"Adult foster care per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266T","description":"Implt/rpl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy face plate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4361","description":"Ostomy face plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microvolt t-wave assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93025","description":"Microvolt t-wave assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88005","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42225","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporin parenteral 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7516","description":"Cyclosporin parenteral 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57400","description":"Dilation of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Across Major Side Branches","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33894","description":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Across Major Side Branches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal vol/count/mot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89320","description":"Semen anal vol/count/mot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63086","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CT studies not reported to a radiation dose index registry due to medical reasons (eg_ ct studies performed for radiation treatment planning or image-guided radiation trtmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9325","description":"CT studies not reported to a radiation dose index registry due to medical reasons (eg_ ct studies performed for radiation treatment planning or image-guided radiation trtmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acylcarnitines quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82017","description":"Acylcarnitines quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4024","description":"Pediatrics Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL41","description":"HIPPS-RVL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384U","description":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA224","description":"HIPPS-CA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create tear duct drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68745","description":"Create tear duct drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9056","description":"Blood_ l/r_ irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKU","description":"HIPPS-3AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"P-mastectomy w/ln removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19302","description":"P-mastectomy w/ln removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL02","description":"HIPPS-RVL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv sr 2pc thor ext pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0174","description":"Cerv sr 2pc thor ext pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology hrt trnspl mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81595","description":"Cardiology hrt trnspl mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27033","description":"Exploration of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8576","description":"No postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xcm biologic tiss matrix 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4142","description":"Xcm biologic tiss matrix 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8D","description":"HIPPS-RHX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLW","description":"HIPPS-1CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo drain lymphocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49323","description":"Laparo drain lymphocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC215","description":"HIPPS-PC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54530","description":"Removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Skin test nos antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86486","description":"Skin test nos antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB07","description":"HIPPS-RVB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Most recent BP is less than or equal to 140/90 mm Hg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9788","description":"Most recent BP is less than or equal to 140/90 mm Hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feeding supply kit; elastomeric control fed_ per day_ includes but not limited to feeding/flushing syringe_ administration set tubing_ dressings_ tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4148","description":"Enteral feeding supply kit; elastomeric control fed_ per day_ includes but not limited to feeding/flushing syringe_ administration set tubing_ dressings_ tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine screen for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81007","description":"Urine screen for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pouch drainable w barrier at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5061","description":"Pouch drainable w barrier at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNX","description":"HIPPS-1BHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid lined pre one pie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0488","description":"Tlso rigid lined pre one pie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral place of fix dev","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7998","description":"Intraoral place of fix dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44625","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMU","description":"HIPPS-1BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1194","description":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0D","description":"HIPPS-RVA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Washed red blood cells unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9022","description":"Washed red blood cells unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0483","description":"Monitor elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ bupivacaine liposome","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9290","description":"Inj_ bupivacaine liposome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62320","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1757","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1757","description":"HCPCS-J1757","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation Supply; Sleeve_ Disposable_ Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4437","description":"Irrigation Supply; Sleeve_ Disposable_ Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate (Xatmep)_ oral_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8612","description":"Methotrexate (Xatmep)_ oral_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic vein harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33508","description":"Endoscopic vein harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Edetate disodium per 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3520","description":"Edetate disodium per 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bebtelovimab_ 175 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0222","description":"Injection_ bebtelovimab_ 175 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC236","description":"HIPPS-LC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41005","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28H","description":"HIPPS-CA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9374","description":"Hit hydra 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81288","description":"Mlh1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3291","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3291","description":"HCPCS-J3291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN3","description":"HIPPS-3AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elec w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0266","description":"Hosp bed total elec w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diag bronchoscope/catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31643","description":"Diag bronchoscope/catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Congo red blood test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2029","description":"Congo red blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNX","description":"HIPPS-1BFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aminocaproic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0017","description":"Injection_ aminocaproic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75827","description":"Vein x-ray chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0491","description":"Tlso 2 piece rigid shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:1)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1728","description":"Employment - Employment Skills Development (1:1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25415","description":"Repair radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ SC_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5137","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ SC_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"TAG_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4261","description":"TAG_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose & septal fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21335","description":"Open tx nose & septal fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine nrv half segmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63185","description":"Incise spine nrv half segmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE260","description":"HIPPS-PE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt brain chemotx add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61517","description":"Implt brain chemotx add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral med adm direct observe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0033","description":"Oral med adm direct observe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61770","description":"Incise skull for treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2215","description":"Lens lenticular bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13C","description":"HIPPS-ES13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41251","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2753","description":"Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9463","description":"Injection_ aprepitant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27391","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL02","description":"HIPPS-RUL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPV","description":"HIPPS-3AFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4593","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov comp bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7240","description":"Impact tooth remov comp bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC25","description":"HIPPS-RHC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens/es other type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2599","description":"Contact lens/es other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0799T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration complete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3357","description":"Pulpal regeneration complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor_ including s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0309","description":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor_ including s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5992","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5992","description":"HCPCS-L5992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bursa of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28001","description":"Drainage of bursa of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4020","description":"Cast sup lng arm splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99492","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0576U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0576U","description":"CPT-0576U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD110","description":"HIPPS-CD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27610","description":"Explore/treat ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"History of preoperative posterior capsule rupture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9759","description":"History of preoperative posterior capsule rupture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25924","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace foot drop spint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4394","description":"Replace foot drop spint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj vocal cord bulking agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8607","description":"Inj vocal cord bulking agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Team evaluation & management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1024","description":"Team evaluation & management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w>=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6444","description":"Conform band n/s w>=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLT","description":"HIPPS-2BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic Small Intestine Follow-Through Study_ Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examinatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74248","description":"Radiologic Small Intestine Follow-Through Study_ Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examinatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9310","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9310","description":"HCPCS-C9310","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health risk assessment test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99420","description":"Health risk assessment test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng warf thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4300F","description":"Pt rcvng warf thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0707T","description":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37246","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supported housing_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0044","description":"Supported housing_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6558","description":"Gradient compression stocking_ thigh length_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair special seat dept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1297","description":"Wheelchair special seat dept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2049","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2049","description":"HCPCS-A2049","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynami afo pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4396","description":"Static or dynami afo pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of bile duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47420","description":"Incision of bile duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1820","description":"Soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC36","description":"HIPPS-RUC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMS","description":"HIPPS-1AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cap bacterial assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012F","description":"Cap bacterial assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch for bar w flange/flt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4419","description":"Ost pch for bar w flange/flt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc recpt counsl vit d/calc+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4019F","description":"Doc recpt counsl vit d/calc+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert non-tunnel cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36555","description":"Insert non-tunnel cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA55","description":"HIPPS-AAA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB22","description":"HIPPS-RLB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKW","description":"HIPPS-1CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082A","description":"ADM SARSCV2 3MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reloc skin pocket pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416T","description":"Reloc skin pocket pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are transferred from one institution to another with a known diagnosis of CVA for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9766","description":"Patients who are transferred from one institution to another with a known diagnosis of CVA for endovascular stroke treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home visit postnatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99501","description":"Home visit postnatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB214","description":"HIPPS-CB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28F","description":"HIPPS-PC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24C","description":"HIPPS-PA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mouth surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40899","description":"Mouth surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant nerve end","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64787","description":"Implant nerve end","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL4","description":"HIPPS-2CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj magnesium sulfate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3475","description":"Inj magnesium sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral prescription drug chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8999","description":"Oral prescription drug chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1805","description":"HCPCS-B1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33694","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4A","description":"HIPPS-RMC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Who Receive Palliative Care Services Any Time During The Intake Period Through The End Of The Measurement Year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0048","description":"Patients Who Receive Palliative Care Services Any Time During The Intake Period Through The End Of The Measurement Year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auto tissue graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4283","description":"Auto tissue graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Veritas collagen matrix_ cm2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9354","description":"Veritas collagen matrix_ cm2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert epicard eltrd endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33203","description":"Insert epicard eltrd endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7050","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gefitinib oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8565","description":"Gefitinib oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6088","description":"Implant Supported Crown - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pamidronate disodium /30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2430","description":"Pamidronate disodium /30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us >/= 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76810","description":"Ob us >/= 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33019","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gen_ neuro_ non-hf rechg bat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1820","description":"Gen_ neuro_ non-hf rechg bat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP2","description":"HIPPS-1BGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gadopiclenol_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9573","description":"Injection_ gadopiclenol_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0604","description":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR MoAb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9841","description":"RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR MoAb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0613","description":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN2","description":"HIPPS-3CFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0490","description":"Emr pwr source elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP1","description":"HIPPS-1BHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zanamivir_ inh pwdr_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9034","description":"Zanamivir_ inh pwdr_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26485","description":"Transplant palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69642","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLU","description":"HIPPS-3CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2108","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61001","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE140","description":"HIPPS-PE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18I","description":"HIPPS-PD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14A","description":"HIPPS-PE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Toxoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86777","description":"Toxoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470U","description":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK1","description":"HIPPS-5CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27652","description":"Repair/graft achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMS","description":"HIPPS-2AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplane w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3967","description":"Sewho airplane w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Basic vestibular evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92540","description":"Basic vestibular evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psori tool doc w/benchmk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9649","description":"Psori tool doc w/benchmk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6081","description":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chest shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0457","description":"Chest shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"HCPCS-J0528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E3000","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES330","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES330","description":"HIPPS-ES330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair modified fontan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33615","description":"Repair modified fontan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adj chem pres ajcc iii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8927","description":"Adj chem pres ajcc iii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Central dexa ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3096F","description":"Central dexa ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01930","description":"CPT-01930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB53","description":"HIPPS-RVB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt below e/w disa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6883","description":"Replc sockt below e/w disa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428U","description":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0803","description":"HCPCS-A0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone sodium succ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1720","description":"Hydrocortisone sodium succ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A7021","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7021","description":"HCPCS-A7021","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB250","description":"HIPPS-CB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43832","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLV","description":"HIPPS-3AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18D","description":"HIPPS-LD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I131 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9524","description":"I131 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00550","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00550","description":"CPT-00550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rec ace/arb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8506","description":"Pt rec ace/arb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18H","description":"HIPPS-PC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4105","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioides antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86635","description":"Coccidioides antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9629","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ fixed_non-peel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1893","description":"Intro/sheath_ fixed_non-peel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bath tub rail floor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0242","description":"Bath tub rail floor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastric analy w/ph ea spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82930","description":"Gastric analy w/ph ea spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3929","description":"Hfo nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat forearm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25035","description":"Treat forearm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55821","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE151","description":"HIPPS-LE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE244","description":"HIPPS-CE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amiodarone hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0282","description":"Amiodarone hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0652","description":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47600","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Residual limb support system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1020","description":"Residual limb support system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of a periimplant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6101","description":"Debridement of a periimplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophilic toric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2521","description":"Cntct lens hydrophilic toric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78430","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excise/repair mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40814","description":"Excise/repair mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00740","description":"CPT-00740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6607","description":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96130","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL2","description":"HIPPS-2BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50690","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mech stance ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5716","description":"Knee-shin exo mech stance ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Palate/uvula surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42299","description":"Palate/uvula surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19371","description":"Removal of breast capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty_ medialization_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31591","description":"Laryngoplasty_ medialization_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00454","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00454","description":"CPT-00454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surgery complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66982","description":"Cataract surgery complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50574","description":"Kidney endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intracorporeal device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33980","description":"Remove intracorporeal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ceruloplasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82390","description":"Assay of ceruloplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86258","description":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device without flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7300","description":"Removal of temporary anchorage device without flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB05","description":"HIPPS-RMB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28E","description":"HIPPS-LC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Calibrator solution/chips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4256","description":"Calibrator solution/chips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75557","description":"Cardiac MRI for morph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject for sacroiliac joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0259","description":"Inject for sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67314","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excis uppr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21049","description":"Excis uppr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3B","description":"HIPPS-RHA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4C","description":"HIPPS-RUC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0962T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0962T","description":"CPT-0962T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forearm or wrist surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25999","description":"Forearm or wrist surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor &/ sens nrve cndj test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95905","description":"Motor &/ sens nrve cndj test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKT","description":"HIPPS-1AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72190","description":"X-ray exam of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bk removable medial brim sus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5672","description":"Bk removable medial brim sus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath fl nongyn smears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88104","description":"Cytopath fl nongyn smears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorax stereo rad targetw/tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32701","description":"Thorax stereo rad targetw/tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject l ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93565","description":"Inject l ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMU","description":"HIPPS-2CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01996","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01996","description":"CPT-01996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9893","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Complex lymphedema therapy_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8950","description":"Complex lymphedema therapy_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1 mic or T1a documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9704","description":"AJCC breast cancer stage I: T1 mic or T1a documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6071","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory heart surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33310","description":"Exploratory heart surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97170","description":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eptifibatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1327","description":"Eptifibatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Renal abscess open drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50020","description":"Renal abscess open drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ std","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4087","description":"Gastro/jejuno tube_ std","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Back school visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9117","description":"Back school visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43886","description":"Revise gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9038","description":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv unl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338T","description":"Trnscth renal symp denrv unl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"HCPCS-L6037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w/ leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1222","description":"Wheelchair spec size w/ leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9901","description":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5938","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5938","description":"CDT-D5938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No pt cat and pt1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9431","description":"No pt cat and pt1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0937T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0937T","description":"CPT-0937T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharm dx agent noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4641","description":"Radiopharm dx agent noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical placement: zygomatic implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7994","description":"Surgical placement: zygomatic implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"marsupialization of odontogenic cyst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7509","description":"marsupialization of odontogenic cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3003","description":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9494","description":"Hit antibiotic total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL40","description":"HIPPS-RUL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy revise stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31638","description":"Bronchoscopy revise stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67101","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE105","description":"HIPPS-HE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20B","description":"HIPPS-LC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27407","description":"Repair of knee ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ranitidine hydrochloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2780","description":"Ranitidine hydrochloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric stimulation therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97014","description":"Electric stimulation therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0666","description":"Pneumatic appliance half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE131","description":"HIPPS-CE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC20","description":"HIPPS-RMC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0087","description":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj paracervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64435","description":"N block inj paracervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal 4.00d/.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2203","description":"Lens sphcyl bifocal 4.00d/.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3B","description":"HIPPS-RMA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20220","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1467","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1467","description":"HCPCS-M1467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagosc dilate balloon 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43214","description":"Esophagosc dilate balloon 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4438","description":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC135","description":"HIPPS-LC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28436","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kanamycin sulfate 75 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1850","description":"Kanamycin sulfate 75 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB01","description":"HIPPS-RHB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic prop tire tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2212","description":"Pneumatic prop tire tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMW","description":"HIPPS-1AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28B","description":"HIPPS-LD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell >=15% (hiv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3498F","description":"Cd4+ cell >=15% (hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ imm glob bivigam_ 500mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1556","description":"Inj_ imm glob bivigam_ 500mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11312","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC154","description":"HIPPS-CC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC32","description":"HIPPS-RHC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0677U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0677U","description":"CPT-0677U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP5","description":"HIPPS-1BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0001","description":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL2","description":"HIPPS-3CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLV","description":"HIPPS-1AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas non-cardiac abl cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1888","description":"Endovas non-cardiac abl cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX46","description":"HIPPS-RHX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chlordiazepoxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1990","description":"Chlordiazepoxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/2-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34802","description":"Endovas aaa repr w/2-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov soft tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7220","description":"Impact tooth remov soft tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea sensing ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433T","description":"Repos nstim apnea sensing ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37260","description":"CPT-37260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66984","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33970","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58553","description":"Laparo-vag hyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99253","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx septal&nose fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21337","description":"Closed tx septal&nose fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt & graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33764","description":"Major vessel shunt & graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC56","description":"HIPPS-RHC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advancing Care For Heart Disease Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0055","description":"Advancing Care For Heart Disease Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise nerve back of head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64744","description":"Incise nerve back of head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Papaverin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2440","description":"Papaverin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM2","description":"HIPPS-4AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0601","description":"HCPCS-A0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11A","description":"HIPPS-ES11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN2","description":"HIPPS-1BHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0972","description":"Lso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE234","description":"HIPPS-CE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sys<140 and dia<90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9273","description":"Sys<140 and dia<90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic cavernosometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54231","description":"Dynamic cavernosometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN6","description":"HIPPS-1BGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52450","description":"Incision of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain spinal cord cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62268","description":"Drain spinal cord cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0689U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0689U","description":"CPT-0689U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Appl multlay comprs arm/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29584","description":"Appl multlay comprs arm/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis/artery-aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33606","description":"Anastomosis/artery-aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC213","description":"HIPPS-HC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay technique_ (eg_ enzyme immunoassay [EIA]_ enzyme-linked immunosorbent assay [ELISA]_ fluorescence immunoassay [FIA]_ immunoch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87467","description":"Infectious agent antigen detection by immunoassay technique_ (eg_ enzyme immunoassay [EIA]_ enzyme-linked immunosorbent assay [ELISA]_ fluorescence immunoassay [FIA]_ immunoch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01770","description":"CPT-01770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow deb/attch open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24359","description":"Repair elbow deb/attch open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1090","description":"Lumbar sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA21","description":"HIPPS-RUA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92641","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92641","description":"CPT-92641","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0D","description":"HIPPS-RHL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5821","description":"Denture interm part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic us exam esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43237","description":"Endoscopic us exam esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9186","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9186","description":"HCPCS-J9186","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent/ath/angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92934","description":"Prq card stent/ath/angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29805","description":"Shoulder arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35184","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ moxifloxacin 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2280","description":"Inj_ moxifloxacin 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7526","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7526","description":"HCPCS-J7526","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES224","description":"HIPPS-ES224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mr guidance for needle place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77021","description":"Mr guidance for needle place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of bile ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47700","description":"Exploration of bile ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6059","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92326","description":"Replacement of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM2","description":"HIPPS-2CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4C","description":"HIPPS-RHA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (high-grade prostate cancer)_ biochemical assay of four proteins (Total PSA_ Free PSA_ Intact PSA_ and human kallikrein-2 [hK2])_ utilizing plasma or serum_ prognosti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81539","description":"Oncology (high-grade prostate cancer)_ biochemical assay of four proteins (Total PSA_ Free PSA_ Intact PSA_ and human kallikrein-2 [hK2])_ utilizing plasma or serum_ prognosti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen dua non","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8688","description":"Implt nrostm pls gen dua non","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87482","description":"Candida dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1809","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1809","description":"HCPCS-J1809","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLS","description":"HIPPS-2AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Promoting wellness mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0005","description":"Promoting wellness mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pho doc >1 cecal ldmk com ex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9612","description":"Pho doc >1 cecal ldmk com ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16376","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16376","description":"CPT-16376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oasis burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4103","description":"Oasis burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdo back wall lim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76775","description":"Us exam abdo back wall lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28G","description":"HIPPS-CC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES226","description":"HIPPS-ES226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0551U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0551U","description":"CPT-0551U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diaper serv reusable diaper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4538","description":"Diaper serv reusable diaper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43850","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (asceniv)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1554","description":"Injection_ immune globulin (asceniv)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: headache radiating to the neck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2190","description":"Patients with clinical indications for imaging of the head: headache radiating to the neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLS","description":"HIPPS-4CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Single transfer toe-hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26553","description":"Single transfer toe-hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect leg/ankle tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27615","description":"Resect leg/ankle tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Av fuse uppr arm cephalic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36818","description":"Av fuse uppr arm cephalic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iiv adjuvant vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90653","description":"Iiv adjuvant vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bone lower jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21025","description":"Excision of bone lower jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0498U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0498U","description":"CPT-0498U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mwc acc_ wheelchair brake","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2228","description":"Mwc acc_ wheelchair brake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2A","description":"HIPPS-RHB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Athletic train reeval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97006","description":"Athletic train reeval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0802","description":"HCPCS-C0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364U","description":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prehensile actuator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7040","description":"Prehensile actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90691","description":"Typhoid vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cysto laser tx ureteral calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2070","description":"Cysto laser tx ureteral calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with dementia at any time prior to or during the month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1271","description":"Patients with dementia at any time prior to or during the month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant_ oral_ 1mg (Varubi)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9981","description":"Rolapitant_ oral_ 1mg (Varubi)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"No surg proc w/in 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8628","description":"No surg proc w/in 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise spermatic cord veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55530","description":"Revise spermatic cord veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE210","description":"HIPPS-LE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0805T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0485","description":"Oral device/appliance prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66630","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine w/cath lmb/scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62319","description":"Inject spine w/cath lmb/scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurological procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95999","description":"Neurological procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX60","description":"HIPPS-RVX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9899","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Patient Pregnancy Anytime During The Measurement Period Prior To And Including The Current Encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9997","description":"Documentation Of Patient Pregnancy Anytime During The Measurement Period Prior To And Including The Current Encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13D","description":"HIPPS-PC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ischial bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27060","description":"Removal of ischial bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stationary o2 contents_ gas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0441","description":"Stationary o2 contents_ gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42335","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69645","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29830","description":"Elbow arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC131","description":"HIPPS-HC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trabectedin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9352","description":"Injection_ trabectedin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Linezolid injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2020","description":"Linezolid injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKX","description":"HIPPS-4AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pemetrexed injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9305","description":"Pemetrexed injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14D","description":"HIPPS-PD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pelvic structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51597","description":"Removal of pelvic structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33684","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hpv high-risk types","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87624","description":"Hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD206","description":"HIPPS-LD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25C","description":"HIPPS-CC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"2 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4207","description":"2 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Grp b strep screening docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3294F","description":"Grp b strep screening docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42340","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump refill kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4220","description":"Infusion pump refill kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466U","description":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult day care per half day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5101","description":"Adult day care per half day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0571","description":"Buprenorphine oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt gest hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9211","description":"Home mgmt gest hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN6","description":"HIPPS-1BFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE240","description":"HIPPS-CE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1474","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1474","description":"HCPCS-M1474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0892T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indic for head ct valid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9531","description":"Indic for head ct valid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device [screw retained plate]_ requiring flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7298","description":"Removal of temporary anchorage device [screw retained plate]_ requiring flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51595","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1025T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1025T","description":"CPT-1025T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv pole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0776","description":"Iv pole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK3","description":"HIPPS-5BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elosulfase alfa_ injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1322","description":"Elosulfase alfa_ injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9002","description":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for power w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1016","description":"Shock absorber for power w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - periapical radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0707","description":"Intraoral - periapical radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Auditory function + 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92621","description":"Auditory function + 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLW","description":"HIPPS-3AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain fused base m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2751","description":"Crown porcelain fused base m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Female patients unable to bear children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1016","description":"Female patients unable to bear children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 probe&reverse trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87535","description":"Hiv-1 probe&reverse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA23","description":"HIPPS-RMA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14A","description":"HIPPS-CE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hematocrit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85014","description":"Hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00797","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00797","description":"CPT-00797","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cerv cancer screen docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3015F","description":"Cerv cancer screen docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM6","description":"HIPPS-3BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0049","description":"Alcohol/drug screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder blade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23400","description":"Fixation of shoulder blade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430U","description":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15A","description":"HIPPS-LC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy wbx sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32604","description":"Thoracoscopy wbx sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4C","description":"HIPPS-RUA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37229","description":"Tib/per revasc w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE205","description":"HIPPS-CE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone sinus implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1090","description":"Mometasone sinus implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61548","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKS","description":"HIPPS-4AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM2","description":"HIPPS-1CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB254","description":"HIPPS-LB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46735","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apply long arm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29105","description":"Apply long arm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vkorc1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81355","description":"Vkorc1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lactoferrin fecal (quant)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83631","description":"Lactoferrin fecal (quant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Epi etiol synd rvwd and docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1205F","description":"Epi etiol synd rvwd and docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90851","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00920","description":"CPT-00920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38305","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275T","description":"Perq lamot/lam lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable peak flow meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8096","description":"Portable peak flow meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Protozoa antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86753","description":"Protozoa antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB244","description":"HIPPS-HB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture belly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35122","description":"Repair artery rupture belly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing paternity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86910","description":"Blood typing paternity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed var ht w/o rail w/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0293","description":"Hosp bed var ht w/o rail w/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2D","description":"HIPPS-RLX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171U","description":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic tx addl 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96571","description":"Photodynamic tx addl 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3C","description":"HIPPS-RMA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84251","description":"Anesth amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Powered air mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0372","description":"Powered air mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80143","description":"Acetaminophen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13C","description":"HIPPS-CD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ob us >/= 14 wks sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76805","description":"Ob us >/= 14 wks sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48148","description":"Removal of pancreatic duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX43","description":"HIPPS-RMX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC226","description":"HIPPS-LC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67906","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99245","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endocervical curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57505","description":"Endocervical curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient pregnancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1061","description":"Patient pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not calculated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8421","description":"Bmi not calculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43212","description":"Esophagoscop stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus and fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43305","description":"Repair esophagus and fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27181","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7669","description":"Metaproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKW","description":"HIPPS-3CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525F","description":"Initial visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antid glbln rcvd w/in 26wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4178F","description":"Antid glbln rcvd w/in 26wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mast subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19304","description":"Mast subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12A","description":"HIPPS-CD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forceps esoph biopsy done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3150F","description":"Forceps esoph biopsy done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD201","description":"HIPPS-PD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Create tear sac drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68720","description":"Create tear sac drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9913","description":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bendamustine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9033","description":"Bendamustine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ropivacaine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2795","description":"Ropivacaine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0604U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0604U","description":"CPT-0604U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0502","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31603","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB41","description":"HIPPS-RVB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0667T","description":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93018","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61585","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2D","description":"HIPPS-AAA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Elbow molded w/ expand inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6205","description":"Elbow molded w/ expand inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28415","description":"Treat heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0910T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0910T","description":"CPT-0910T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKU","description":"HIPPS-1CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78830","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient discharged alive following endovascular AAA repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9263","description":"Documentation of patient discharged alive following endovascular AAA repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0434","description":"Portable liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310U","description":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oversize lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2780","description":"Oversize lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 75 or older on their initiation of dialysis date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1264","description":"Patients age 75 or older on their initiation of dialysis date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0638T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC60","description":"HIPPS-RVC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55600","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL33","description":"HIPPS-RHL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Optx thigh fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27269","description":"Optx thigh fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14C","description":"HIPPS-LB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heat quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109T","description":"Heat quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"New lenses in pts old frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0595","description":"New lenses in pts old frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver/arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47147","description":"Prep donor liver/arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11B","description":"HIPPS-PD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0555U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0555U","description":"CPT-0555U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28220","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87184","description":"Microbe susceptible disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0B","description":"HIPPS-RLA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKU","description":"HIPPS-1AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM5","description":"HIPPS-4AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl press monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293T","description":"Ins lt atrl press monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83051","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1333","description":"Acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01960","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01960","description":"CPT-01960","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0534U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0534U","description":"CPT-0534U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15A","description":"HIPPS-HB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP1","description":"HIPPS-3CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)ābased antimicrobial susceptibility for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311U","description":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)ābased antimicrobial susceptibility for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years And Older With A Diagnosis Of Frailty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2131","description":"Patients 81 Years And Older With A Diagnosis Of Frailty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1301","description":"HCPCS-C1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0527","description":"Management of established patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM5","description":"HIPPS-1BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459T","description":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK1","description":"HIPPS-1BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dental tmj arthrogram incl i","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0320","description":"Dental tmj arthrogram incl i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01522","description":"CPT-01522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heroin metabolite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80356","description":"Heroin metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25685","description":"Treat wrist fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB26","description":"HIPPS-RUB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27040","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum w/innom bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27077","description":"Resect hip tum w/innom bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4613","description":"Battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB250","description":"HIPPS-HB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4380","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4380","description":"HCPCS-Q4380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2787","description":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77786","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD205","description":"HIPPS-LD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty walker no wheels","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0148","description":"Heavyduty walker no wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc arm/elbow les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24075","description":"Exc arm/elbow les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28555","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8657","description":"Fun stat score le pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44372","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD150","description":"HIPPS-PD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect recurrent gyn mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58957","description":"Resect recurrent gyn mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"American amnion_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4307","description":"American amnion_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5922","description":"Nasal septal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18C","description":"HIPPS-BB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL3","description":"HIPPS-3CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1221","description":"Wheelchair spec size w foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant semi-imp hear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2230","description":"Implant semi-imp hear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3C","description":"HIPPS-RUC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43113","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist endoscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29848","description":"Wrist endoscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB244","description":"HIPPS-LB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nocardia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86744","description":"Nocardia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36415","description":"Routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no foot exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9225","description":"Norsn no foot exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography dx w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74262","description":"Ct colonography dx w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stent & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37231","description":"Tib/per revasc stent & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cad measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8489","description":"Cad measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPX","description":"HIPPS-1BHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ vincristine sul lip 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9371","description":"Inj_ vincristine sul lip 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131_ Iobenguane_ 1 Millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9590","description":"Iodine I-131_ Iobenguane_ 1 Millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24200","description":"Removal of arm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tebentafusp-tebn_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9095","description":"Injection_ tebentafusp-tebn_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27202","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 21-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99448","description":"Interprof phone/online 21-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA15","description":"HIPPS-RHA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0202","description":"HCPCS-C0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25D","description":"HIPPS-ES25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD135","description":"HIPPS-CD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0135U","description":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26860","description":"Fusion of finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15792","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current percep threshold tst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0255","description":"Current percep threshold tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55877","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55877","description":"CPT-55877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon extent unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9089","description":"Onc dx colon extent unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ pacing_ transesoph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1756","description":"Cath_ pacing_ transesoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Phenytoin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1165","description":"Phenytoin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1808","description":"HCPCS-E1808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14040","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61557","description":"Incise skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN4","description":"HIPPS-1BHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9465","description":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01500","description":"CPT-01500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn; barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0122","description":"Colon ca scrn; barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair dura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61618","description":"Repair dura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25215","description":"Removal of wrist bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD112","description":"HIPPS-HD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC117","description":"HIPPS-PC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune rheumatoid arthr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81490","description":"Autoimmune rheumatoid arthr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & ureter catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52005","description":"Cystoscopy & ureter catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0492","description":"Tlso 3 piece rigid shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK4","description":"HIPPS-2AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33860","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4C","description":"HIPPS-RUL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27279","description":"Arthrodesis sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 hd mult pow s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0886","description":"Pwc gp4 hd mult pow s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPS","description":"HIPPS-3AHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ neurostimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1778","description":"Lead_ neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Culture bacteria anaerobic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87073","description":"Culture bacteria anaerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 pentetreotide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9572","description":"Indium in-111 pentetreotide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Map tachycardia add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93609","description":"Map tachycardia add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zanamivir_inhalation pwd 10m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9018","description":"Zanamivir_inhalation pwd 10m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head/neck/ptrunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30051","description":"Anesth head/neck/ptrunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0603T","description":"Transdermal gfr monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation anal musc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46505","description":"Chemodenervation anal musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN6","description":"HIPPS-1AHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMX","description":"HIPPS-1AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87580","description":"M.pneumon dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appl full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0667","description":"Seg pneumatic appl full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ per hour of the psychologist_s or physicia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96118","description":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ per hour of the psychologist_s or physicia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95717","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4398","description":"Ostomy irrigation bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism ehealthline clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1021","description":"Clinical decision support mechanism ehealthline clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00770","description":"CPT-00770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg >16<=48 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6255","description":"Absorpt drg >16<=48 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2114","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0958T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0958T","description":"CPT-0958T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Admit w/in 180d req surg rev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9412","description":"Admit w/in 180d req surg rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28I","description":"HIPPS-PE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Posterior gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8000","description":"Posterior gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of ankle bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28302","description":"Incision of ankle bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00218","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00218","description":"CPT-00218","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK4","description":"HIPPS-3BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_autosys and md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0141","description":"Scr c/v cyto_autosys and md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove rectal obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45915","description":"Remove rectal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture partial max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5864","description":"Overdenture partial max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE145","description":"HIPPS-CE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB145","description":"HIPPS-CB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 2 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0398","description":"Home sleep test/type 2 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"XCellerate_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4234","description":"XCellerate_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs cpap/bilvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95783","description":"Polysom <6 yrs cpap/bilvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Florbetaben f18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9458","description":"Florbetaben f18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision/removal of kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27424","description":"Revision/removal of kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban_ 1 mg (for non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0883","description":"Injection_ argatroban_ 1 mg (for non-ESRD use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or bo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1195","description":"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplane w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3973","description":"Sewho airplane w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore treat shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23107","description":"Explore treat shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl nasal pillow comb mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7029","description":"Repl nasal pillow comb mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lith ion batt cid_non-earlvl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8623","description":"Lith ion batt cid_non-earlvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99401","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip flex inner socket ext fr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5643","description":"Hip flex inner socket ext fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hip core decompression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2325","description":"Hip core decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4524","description":"Adult size brief/diaper xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Manual reticulocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85044","description":"Manual reticulocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CO GNOTYP AQP1 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0181U","description":"CO GNOTYP AQP1 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38222","description":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2D","description":"HIPPS-RVA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8A","description":"HIPPS-RHB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKS","description":"HIPPS-1BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1032","description":"HCPCS-E1032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thorac cont paraspinal uprig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2670","description":"Thorac cont paraspinal uprig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45560","description":"Repair of rectocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma color vision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2503","description":"Cntct lens pmma color vision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9158","description":"Motor speech d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a occupational therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2169","description":"Services performed by a occupational therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fats/lipids feces quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82710","description":"Fats/lipids feces quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attendant control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2331","description":"Attendant control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14C","description":"HIPPS-HB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible nephroureteral catheter (eg_ external/internal stent) requiring fluoroscopic guidance_ with ureteral stricture balloon dilatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7546","description":"Removal and replacement of externally accessible nephroureteral catheter (eg_ external/internal stent) requiring fluoroscopic guidance_ with ureteral stricture balloon dilatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86702","description":"Hiv-2 antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21194","description":"Reconst lwr jaw w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Contrcp talk b/4 antiv txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4159F","description":"Contrcp talk b/4 antiv txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12052","description":"Intmd rpr face/mm 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Each additional cervical vertebral body (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2361","description":"Each additional cervical vertebral body (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPU","description":"HIPPS-1AFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Whfo nontorsion joint prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3931","description":"Whfo nontorsion joint prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKW","description":"HIPPS-5CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tympanometry & reflex thresh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92550","description":"Tympanometry & reflex thresh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group mnt 2 or more 30 mins","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0271","description":"Group mnt 2 or more 30 mins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPS","description":"HIPPS-1BHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLW","description":"HIPPS-1BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ docetaxel (ingenus) not therapeutically equivalent to j9171_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9172","description":"Injection_ docetaxel (ingenus) not therapeutically equivalent to j9171_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA45","description":"HIPPS-RLA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnenolone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84140","description":"Assay of pregnenolone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0430","description":"Fixed wing air transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Odontics repr abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6095","description":"Odontics repr abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin-based indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2710","description":"Crown resin-based indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion /=40% predicted value","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3042F","description":"Fev >/=40% predicted value","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2087","description":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 5/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73523","description":"X-ray exam hips bi 5/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE154","description":"HIPPS-CE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10A","description":"HIPPS-PE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tensix_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4146","description":"Tensix_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Egd esophagogastrc fndoplsty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43210","description":"Egd esophagogastrc fndoplsty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wash harvest stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38209","description":"Wash harvest stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15936","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol hepatic fream","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5200","description":"Parenteral sol hepatic fream","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58400","description":"Suspension of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA32","description":"HIPPS-RHA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8F","description":"HIPPS-RVC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intraspinal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1755","description":"Catheter_ intraspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Med reas antibiotic pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8709","description":"Med reas antibiotic pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Impression casting ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0395","description":"Impression casting ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 20 valent (PCV20)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90677","description":"Pneumococcal conjugate vaccine_ 20 valent (PCV20)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG)_ with interpretation and report; multifocal (mfERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92274","description":"Electroretinography (ERG)_ with interpretation and report; multifocal (mfERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3C","description":"HIPPS-RVL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echograp trans r pros study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76873","description":"Echograp trans r pros study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34111","description":"Removal of arm artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Busulfan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0594","description":"Busulfan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay triiodothyronine (t3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84480","description":"Assay triiodothyronine (t3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0491U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0491U","description":"CPT-0491U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging/studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78016","description":"Thyroid met imaging/studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx adolescent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8030","description":"Limited dental tx adolescent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNW","description":"HIPPS-3AFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coa/non-cov w/del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1876","description":"Stent_ non-coa/non-cov w/del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77063","description":"Breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC255","description":"HIPPS-PC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial laminated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5590","description":"Prep ak ischial laminated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD214","description":"HIPPS-HD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD150","description":"HIPPS-HD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of leg veins/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37735","description":"Removal of leg veins/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aud rehab postling hear loss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92633","description":"Aud rehab postling hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sperm duct surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92251","description":"Anesth sperm duct surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art pressure waveform analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93050","description":"Art pressure waveform analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21255","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99215","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL1","description":"HIPPS-1AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6686","description":"Suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2398","description":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Blood platelet aggregation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85576","description":"Blood platelet aggregation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28299","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert_ disp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5265","description":"Ear mold/insert_ disp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLU","description":"HIPPS-4AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hd shck absrber for hd powwc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1018","description":"Hd shck absrber for hd powwc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dsm-5 info mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1040F","description":"Dsm-5 info mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7214","description":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28525","description":"Treat toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar artif diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22857","description":"Lumbar artif diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Standard control cable extra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6655","description":"Standard control cable extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adults currently taking pharmacotherapy for OUD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1032","description":"Adults currently taking pharmacotherapy for OUD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of leg at hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27290","description":"Amputation of leg at hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMS","description":"HIPPS-4CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2174","description":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43496","description":"Free jejunum flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21C","description":"HIPPS-HC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pharyngeal walls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42894","description":"Revision of pharyngeal walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73719","description":"MRI lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclr rx interstit colloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79300","description":"Nuclr rx interstit colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii fc fusion recomb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7205","description":"Factor viii fc fusion recomb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLV","description":"HIPPS-3AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pentobarbital sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2515","description":"Pentobarbital sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467U","description":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA135","description":"HIPPS-CA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27238","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspirate &biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0364","description":"Bone marrow aspirate &biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28D","description":"HIPPS-PB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48548","description":"Fuse pancreas and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2B","description":"HIPPS-RHC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for lactose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83633","description":"Test urine for lactose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft wrist bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25440","description":"Repair/graft wrist bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA55","description":"HIPPS-RHA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL5","description":"HIPPS-1AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tkr intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9234","description":"Tkr intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tramadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80373","description":"Drug screening tramadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25D","description":"HIPPS-LE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11300","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK4","description":"HIPPS-1BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72195","description":"MRI pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Othe therapist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9478","description":"Othe therapist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Durable medical equipment mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1399","description":"Durable medical equipment mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA42","description":"HIPPS-RUA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of facial/other nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64866","description":"Fusion of facial/other nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61891","description":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42725","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3342F","description":"Mammo assess bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4239","description":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378U","description":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00902","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00902","description":"CPT-00902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299U","description":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0024U","description":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Voltage-Gated Calcium Channel Antibody_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86596","description":"Voltage-Gated Calcium Channel Antibody_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93788","description":"Ambulatory bp analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Us transrectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76872","description":"Us transrectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair testis injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54670","description":"Repair testis injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0521U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0521U","description":"CPT-0521U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24D","description":"HIPPS-CE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB112","description":"HIPPS-PB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis w/huhner","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89300","description":"Semen analysis w/huhner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt w out cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9241","description":"Doc pt w out cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84702","description":"Chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500T","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replace blood leak detector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1560","description":"Replace blood leak detector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adrenalin epinephrine inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0171","description":"Adrenalin epinephrine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Acesso_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4311","description":"Acesso_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290U","description":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart planar single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78472","description":"Gated heart planar single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1558","description":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosphenytoin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0078","description":"Injection_ fosphenytoin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB44","description":"HIPPS-RVB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs 4/> paramtrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95782","description":"Polysom <6 yrs 4/> paramtrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88235","description":"Tissue culture placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27780","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC14","description":"HIPPS-RMC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Docetaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9171","description":"Docetaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99335","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Closed tmp manipulation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7820","description":"Closed tmp manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9985","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13C","description":"HIPPS-LB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hymenotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56442","description":"Hymenotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"5%dextrose/0.45%saline1000ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5013","description":"5%dextrose/0.45%saline1000ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Finger tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26498","description":"Finger tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87564","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87564","description":"CPT-87564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resolve Matrix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2024","description":"Resolve Matrix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67916","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl bat t.e.n.s. own by pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4630","description":"Repl bat t.e.n.s. own by pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB224","description":"HIPPS-BB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC246","description":"HIPPS-HC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80438","description":"Trh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Eo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3702","description":"Eo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14A","description":"HIPPS-PD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open reduc compd alveolus fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7770","description":"Open reduc compd alveolus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC225","description":"HIPPS-LC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87478","description":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE106","description":"HIPPS-PE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lowr extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5999","description":"Lowr extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology Cardiac Specialist Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4002","description":"Electrophysiology Cardiac Specialist Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear matrix protein 22","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86386","description":"Nuclear matrix protein 22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3503","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy hand joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26100","description":"Biopsy hand joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gingival irrigation per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4921","description":"Gingival irrigation per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Vinorelbine tartrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9390","description":"Vinorelbine tartrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair wrist joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25447","description":"Repair wrist joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of spinal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64772","description":"Incision of spinal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Add mech leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1009","description":"Add mech leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehab thxpy options w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4400F","description":"Rehab thxpy options w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Second level cer diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22858","description":"Second level cer diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Truss double w/ standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8310","description":"Truss double w/ standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Normal Nativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93596","description":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Normal Nativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3C","description":"HIPPS-RUX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Supply/ext inf pump syr type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0552","description":"Supply/ext inf pump syr type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6455","description":"Self-adher band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce clavicle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23490","description":"Reinforce clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Open red simp malar/zygom fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7650","description":"Open red simp malar/zygom fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML1ST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111A","description":"ADM SARSCOV2 25MCG/0.25ML1ST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58974","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP5","description":"HIPPS-3AGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 resin-based compos","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2712","description":"Crown 3/4 resin-based compos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62281","description":"Treat spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess inc xray docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3340F","description":"Mammo assess inc xray docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep < 2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21013","description":"Exc face tum deep < 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ret dev_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1773","description":"Ret dev_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00632","description":"CPT-00632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB160","description":"HIPPS-CB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27030","description":"Drainage of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain ovary abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58820","description":"Drain ovary abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1735","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1735","description":"HCPCS-C1735","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68330","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rad exp time w/fluor doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9500","description":"Rad exp time w/fluor doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86789","description":"West nile virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30520","description":"Repair of nasal septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ibd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8758","description":"Ibd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2090","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD226","description":"HIPPS-CD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gjb6 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81254","description":"Gjb6 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Furnsh initial orthosis only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1200","description":"Furnsh initial orthosis only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX13","description":"HIPPS-RUX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hern repair comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49655","description":"Lap inc hern repair comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC226","description":"HIPPS-CC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Heart pacing mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93631","description":"Heart pacing mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Hot EntrƩe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1759","description":"Home Delivered Meals-Hot EntrƩe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80428","description":"Growth hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Infliximab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80230","description":"Infliximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5264","description":"Ear mold/insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL6","description":"HIPPS-3AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehabilitation program 1/2 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2001","description":"Rehabilitation program 1/2 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18G","description":"HIPPS-CC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5991","description":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca screen;barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0106","description":"Colon ca screen;barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9534","description":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28B","description":"HIPPS-LB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial ankle/ft prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5979","description":"Multi-axial ankle/ft prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement facemask interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7031","description":"Replacement facemask interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31600","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27703","description":"Reconstruction ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide villus sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76945","description":"Echo guide villus sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; each additional target lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76983","description":"Ultrasound_ elastography; each additional target lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"In hospice or using hospice services during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1167","description":"In hospice or using hospice services during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX55","description":"HIPPS-RHX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0677T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair brake extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0961","description":"Wheelchair brake extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Therapy exercise joint rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4018F","description":"Therapy exercise joint rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asp not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9436","description":"Asp not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES311","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES311","description":"HIPPS-ES311","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0774T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE251","description":"HIPPS-CE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"C/o for orthotic/prosth use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97762","description":"C/o for orthotic/prosth use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1902","description":"HCPCS-B1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0517U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0517U","description":"CPT-0517U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27686","description":"Revise lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18X","description":"HIPPS-HD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28F","description":"HIPPS-LE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36569","description":"Insert picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Polysom 6/>yrs cpap 4/> parm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95811","description":"Polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft carotid-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35508","description":"Art byp grft carotid-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47553","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL5","description":"HIPPS-3CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29902","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy vent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4366","description":"Ostomy vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heel bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28300","description":"Incision of heel bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38H","description":"HIPPS-ES38H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE114","description":"HIPPS-LE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01232","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01232","description":"CPT-01232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drain external ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69005","description":"Drain external ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Management of a new patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0522","description":"Management of a new patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLX","description":"HIPPS-1CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Saquinavir_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0140","description":"Saquinavir_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99483","description":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0940","description":"Trapeze bar free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE216","description":"HIPPS-LE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fluvirin vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2037","description":"Fluvirin vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Guardant360 CDX_ Guardant Health Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0242U","description":"Guardant360 CDX_ Guardant Health Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA254","description":"HIPPS-CA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Sedative hypnotics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80368","description":"Sedative hypnotics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insert tray w/o bag/cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4310","description":"Insert tray w/o bag/cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5169","description":"HCPCS-Q5169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"VEKLURY - Injection_ remdesivir_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0248","description":"VEKLURY - Injection_ remdesivir_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90484","description":"CPT-90484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv hedia outpt dyls fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8956","description":"Pt rcv hedia outpt dyls fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD136","description":"HIPPS-LD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tb scrng done-interpd 6mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3455F","description":"Tb scrng done-interpd 6mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rbc osmotic fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85555","description":"Rbc osmotic fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5C","description":"HIPPS-RHB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92628","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92628","description":"CPT-92628","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ natalizumab-sztn (tyruko)_ biosimilar_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5134","description":"Injection_ natalizumab-sztn (tyruko)_ biosimilar_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA51","description":"HIPPS-RVA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53866","description":"CPT-53866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thiamine hcl 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3411","description":"Thiamine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96164","description":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbit/face/neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70542","description":"MRI orbit/face/neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ & train 1 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98960","description":"Self-mgmt educ & train 1 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159U","description":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0503","description":"HCPCS-C0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1012","description":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac after care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59622","description":"Attempted vbac after care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0656U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0656U","description":"CPT-0656U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Echo examination procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76999","description":"Echo examination procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bladder irrigation tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4355","description":"Bladder irrigation tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g._ inside-out technique)_ including imaging guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9780","description":"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g._ inside-out technique)_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15934","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doc system reas adv imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9537","description":"Doc system reas adv imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"ONC THYR MRNA XPRSN ALYS 593","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0204U","description":"ONC THYR MRNA XPRSN ALYS 593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Enclosed walker w rear seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0144","description":"Enclosed walker w rear seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL1","description":"HIPPS-3BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"N block inj intercost mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64421","description":"N block inj intercost mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0880T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pi volunteer ambulance co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0432","description":"Pi volunteer ambulance co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX30","description":"HIPPS-RMX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB31","description":"HIPPS-RHB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone undecanoate 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3145","description":"Testosterone undecanoate 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cltx med ankle fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27762","description":"Cltx med ankle fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patients with dementia any time during the patient_s history through the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1164","description":"Patients with dementia any time during the patient_s history through the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home uterine monitor with or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9001","description":"Home uterine monitor with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0600U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0600U","description":"CPT-0600U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay glucose blood quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82947","description":"Assay glucose blood quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Special Meal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1764","description":"Home Delivered Meals-Special Meal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLT","description":"HIPPS-4AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95071","description":"Bronchial allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cymetra injectable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4112","description":"Cymetra injectable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB105","description":"HIPPS-PB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Administration Of Chemotherapy Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0618","description":"Hospital Special Treatment Room Support Component (Hstrsc) Administration Of Chemotherapy Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection Fluocinolone Acetonide Intravitreal Implant_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9450","description":"Injection Fluocinolone Acetonide Intravitreal Implant_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2247","description":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81166","description":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0593","description":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX26","description":"HIPPS-RHX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6110","description":"Implnt/abut remov dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ elastic medium stretch_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6598","description":"Gradient compression bandage roll_ elastic medium stretch_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9608","description":"Intraop cyst eval not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair pul venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33726","description":"Repair pul venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr convex <=4 sq i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4409","description":"Ost skn barr convex <=4 sq i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Asparaginase_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9020","description":"Asparaginase_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nursing assessment/evaluatn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1001","description":"Nursing assessment/evaluatn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438U","description":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; heterotopic_ partial or whole_ from cadaver or living donor_ any age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47136","description":"Liver allotransplantation; heterotopic_ partial or whole_ from cadaver or living donor_ any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed write/oral pts w/ hf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4003F","description":"Pt ed write/oral pts w/ hf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8652","description":"Fun stat score hip < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX06","description":"HIPPS-RVX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing ag equiv lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81375","description":"Hla ii typing ag equiv lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61682","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27228","description":"Treat hip fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care transport","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99466","description":"Ped crit care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26428","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7560","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKS","description":"HIPPS-1AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMU","description":"HIPPS-4CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disartic switch contro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6960","description":"Shldr disartic switch contro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28E","description":"HIPPS-CB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Antisperm antibodies test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3655","description":"Antisperm antibodies test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD124","description":"HIPPS-HD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKU","description":"HIPPS-4BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Chemodener muscle larynx emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64617","description":"Chemodener muscle larynx emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Resect nasopharynx skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61586","description":"Resect nasopharynx skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Onc prostate prob score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010M","description":"Onc prostate prob score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echo exam heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93320","description":"Doppler echo exam heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Emr hd pmp elec/combo_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0494","description":"Emr hd pmp elec/combo_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB55","description":"HIPPS-RHB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rehabilitative support for musculoskeletal care mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1370","description":"Rehabilitative support for musculoskeletal care mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endoluminal bx biliary tree","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47543","description":"Endoluminal bx biliary tree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Aortic anrysm 6/> cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9004F","description":"Aortic anrysm 6/> cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB226","description":"HIPPS-BB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pontic-indirect resin based","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6205","description":"Pontic-indirect resin based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL30","description":"HIPPS-RUL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Forensic cytopathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88125","description":"Forensic cytopathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67110","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pt falls assess-docd le1/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1101F","description":"Pt falls assess-docd le1/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9292","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9292","description":"HCPCS-J9292","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40805","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty tricuspid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33463","description":"Valvuloplasty tricuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt pulse gen sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4638","description":"Repl batt pulse gen sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity high","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3472F","description":"Ra disease activity high","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12053","description":"Intmd rpr face/mm 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93650","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1445","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1445","description":"HCPCS-M1445","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2023F","description":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPW","description":"HIPPS-3CGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE254","description":"HIPPS-LE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18F","description":"HIPPS-CD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ovulation mgmt per cycle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4042","description":"Ovulation mgmt per cycle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9978","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respitecare /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5151","description":"Unskilled respitecare /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Stereoscopic x-ray guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6002","description":"Stereoscopic x-ray guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7877","description":"Tmj arthroscopy debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01963","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01963","description":"CPT-01963","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKS","description":"HIPPS-3AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437U","description":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CaregraFT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4322","description":"CaregraFT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37220","description":"Iliac revasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1C","description":"HIPPS-RMC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC54","description":"HIPPS-RHC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic myomectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58545","description":"Laparoscopic myomectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag iv inf init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96365","description":"Ther/proph/diag iv inf init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9224","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9224","description":"CDT-D9224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA33","description":"HIPPS-RUA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69310","description":"Rebuild outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15B","description":"HIPPS-PC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM2","description":"HIPPS-3AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydromorphone 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0092","description":"Hydromorphone 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0401","description":"CDT-D0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Postsurgical obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5932","description":"Postsurgical obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"GYPA GNOTYP NTRNS 1 5 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189U","description":"GYPA GNOTYP NTRNS 1 5 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Throat x-ray & fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70370","description":"Throat x-ray & fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86648","description":"Diphtheria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96112","description":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0628U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0628U","description":"CPT-0628U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Correction of astigmatism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65772","description":"Correction of astigmatism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing >48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6233","description":"Hydrogel dressing >48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKU","description":"HIPPS-4AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85420","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81560","description":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC50","description":"HIPPS-RMC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and if positive then documented mitigation recommendations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9922","description":"Safety concerns screen provided and if positive then documented mitigation recommendations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11C","description":"HIPPS-HD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01953","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01953","description":"CPT-01953","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Denervation of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27035","description":"Denervation of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42845","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"T cell absolute count/ratio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86360","description":"T cell absolute count/ratio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring_ radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58674","description":"Laparoscopy_ surgical_ ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring_ radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0121","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD215","description":"HIPPS-HD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43191","description":"Esophagoscopy rigid trnso dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3485","description":"Zidovudine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23D","description":"HIPPS-HC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA55","description":"HIPPS-RLA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene dup/delet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81324","description":"Pmp22 gene dup/delet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81203","description":"Apc gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62302","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin depression screen not d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8432","description":"Clin depression screen not d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5665","description":"Multi-durometer below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD110","description":"HIPPS-HD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2840","description":"Injection_ sebelipase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28E","description":"HIPPS-HB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL26","description":"HIPPS-RUL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33851","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mnl lock ultra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5711","description":"Knee-shin exo mnl lock ultra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0680T","description":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Urine bacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87088","description":"Urine bacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Transplant femur ridge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27140","description":"Transplant femur ridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lung perfusion differential","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78597","description":"Lung perfusion differential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replantation of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54438","description":"Replantation of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD234","description":"HIPPS-CD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD104","description":"HIPPS-PD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular reeducation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97112","description":"Neuromuscular reeducation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0877","description":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90853","description":"Group psychotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ear and throat examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92502","description":"Ear and throat examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15847","description":"Exc skin abd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Repair rotator cuff acute","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23410","description":"Repair rotator cuff acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC06","description":"HIPPS-RUC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99374","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31780","description":"Reconstruct windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine creatinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82570","description":"Assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/arytenoidectom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31560","description":"Laryngoscop w/arytenoidectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4359","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4359","description":"HCPCS-Q4359","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Alternating pressure pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4640","description":"Alternating pressure pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Splint - intra-coronal; natural teeth or prosthetic crowns","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4322","description":"Splint - intra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dispense fee initial 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0333","description":"Dispense fee initial 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6065","description":"Implant supported crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24C","description":"HIPPS-PC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Completed epsdt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0302","description":"Completed epsdt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iliac aneurysm endovas rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75954","description":"Iliac aneurysm endovas rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72125","description":"Ct neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24515","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15C","description":"HIPPS-PC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35C","description":"HIPPS-ES35C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1402","description":"HCPCS-B1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMT","description":"HIPPS-1AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1400","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1400","description":"HCPCS-M1400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rails bed side half length","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0305","description":"Rails bed side half length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc addl vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292T","description":"Iv oct for proc addl vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1249","description":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB151","description":"HIPPS-HB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1030F","description":"Influenza imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK5","description":"HIPPS-1BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1316","description":"Current tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36148","description":"Access av dial grft for proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain w/ noble met","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2752","description":"Crown porcelain w/ noble met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Interventional Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4012","description":"Interventional Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk12.6-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12005","description":"Rpr s/n/a/gen/trk12.6-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46045","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Igh gene rearrang dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81262","description":"Igh gene rearrang dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10A","description":"HIPPS-PA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid uptake measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78012","description":"Thyroid uptake measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC21","description":"HIPPS-RUC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Function stat assessed rvwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1175F","description":"Function stat assessed rvwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68811","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hdtrans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0248","description":"Hdtrans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intrvl 3/>yr pts clnscp docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529F","description":"Intrvl 3/>yr pts clnscp docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11100","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Nat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93597","description":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Nat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy salpingostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58673","description":"Laparoscopy salpingostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection for elbow x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24220","description":"Injection for elbow x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/transplant tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23440","description":"Remove/transplant tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42106","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Multiple surgery abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49220","description":"Multiple surgery abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Electric current therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97033","description":"Electric current therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft finger lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26215","description":"Remove/graft finger lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC42","description":"HIPPS-RUC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC50","description":"HIPPS-RUC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc visceral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235T","description":"Trluml perip athrc visceral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX14","description":"HIPPS-RMX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28106","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Hyperbaric Oxygen Treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X2061","description":"Hospital Special Treatment Room Support Component (Hstrsc) Hyperbaric Oxygen Treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compression device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0675","description":"Pneumatic compression device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Additive for enteral formula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4104","description":"Additive for enteral formula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Neurology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4015","description":"Neurology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Search for prior patient completed dicom format images not completed due to medical reasons(eg_CT studies performed for radiation treatment planning or image-guided radiation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9343","description":"Search for prior patient completed dicom format images not completed due to medical reasons(eg_CT studies performed for radiation treatment planning or image-guided radiation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive craniotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61322","description":"Decompressive craniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Explore parathyroid glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60505","description":"Explore parathyroid glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Mh partial hosp tx under 24h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0035","description":"Mh partial hosp tx under 24h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPV","description":"HIPPS-3BFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrettās esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386U","description":"Gastroenterology (Barrettās esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat larynx fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31584","description":"Treat larynx fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Root canal therapy 2 canals","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3320","description":"Root canal therapy 2 canals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22C","description":"HIPPS-HD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB246","description":"HIPPS-BB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Microbiology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87999","description":"Microbiology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Walker rigid adjust/fixed ht","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0130","description":"Walker rigid adjust/fixed ht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Clin sign vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2002F","description":"Clin sign vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL1","description":"HIPPS-2BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMV","description":"HIPPS-1BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12B","description":"HIPPS-LB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove intestinal allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44137","description":"Remove intestinal allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84154","description":"Assay of psa free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Assay of total testosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84403","description":"Assay of total testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL4","description":"HIPPS-2BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"I&d abscess extraoral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7520","description":"I&d abscess extraoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cath indw foley 3 way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4346","description":"Cath indw foley 3 way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLS","description":"HIPPS-2CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded plas rig ant tib","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1945","description":"Afo molded plas rig ant tib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA23","description":"HIPPS-RLA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37267","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37267","description":"CPT-37267","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6055","description":"Nicotine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Hit chemo per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9329","description":"Hit chemo per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP4","description":"HIPPS-1AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Exam of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57452","description":"Exam of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Kras gene addl variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81276","description":"Kras gene addl variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1002T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1002T","description":"CPT-1002T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27510","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein bld hr fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83701","description":"Lipoprotein bld hr fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM2","description":"HIPPS-1AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Cor artery disease mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81493","description":"Cor artery disease mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tremelimumab-actl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9147","description":"Injection_ tremelimumab-actl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Nonpower mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0371","description":"Nonpower mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Replacement diaphragm/fplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7502","description":"Replacement diaphragm/fplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27530","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLX","description":"HIPPS-3CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio upr extrm w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73206","description":"Ct angio upr extrm w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Dactinomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9120","description":"Dactinomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA120","description":"HIPPS-CA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 2 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34842","description":"Endovasc visc aorta 2 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Face bone graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21210","description":"Face bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0705T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2428","description":"HCPCS-J2428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90471","description":"Immunization admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55650","description":"Remove sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 1-2 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98925","description":"Osteopath manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Idecabtagene vicleucel_ up to 460 million autologous anti-BCMA CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9081","description":"Idecabtagene vicleucel_ up to 460 million autologous anti-BCMA CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12041","description":"Intmd rpr n-hf/genit 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Rickettsia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86757","description":"Rickettsia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0721T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axill-fem-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35654","description":"Art byp axill-fem-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56152","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13D","description":"HIPPS-PB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"W/c seat lift mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0985","description":"W/c seat lift mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bladder abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51080","description":"Drainage of bladder abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":63.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[922939189]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93532","description":"R &